I Can See Health

Jiao Jingqiu pursed her lips, still unwilling to give up, "Is there any problem with implanting a pacemaker for this kind of arrhythmia?"

The basal heart rate is only 37 beats/min, which is a bradyarrhythmia. Is there something wrong with implanting a pacemaker?

"There's a problem!" Lu Chen said. He didn't pay attention to everyone's shocked looks and continued: "Suppose a pacemaker is implanted. The patient has sinus rhythm and a dual-chamber pacemaker should be implanted. Its working mode It is atrioventricular omnipotent pacing (ddd), which senses the electrical activity of the atrium and triggers the electrical activity of the ventricle. Every time the atrial signal is not transmitted, it will be converted into ventricular pacing. "

"Then the patient is likely to feel uncomfortable due to increased heart rate and frequent ventricular pacing!"

Lu Chen's words were very firm, and he directly pointed out the inappropriateness of "implanting a pacemaker"!

Everyone present was silent.

A few minutes ago, everyone's opinion was surprisingly unanimous: a pacemaker needs to be implanted!

But now... it's a slap in the face!

The slap in the face is so fast!

Jiao Jingqiu had nothing to say. She glanced at Lu Chen and sat down silently.

Lu Chen continued to strike while the iron was hot: "The correct treatment method for this patient should be ablation!"

"Ablate atrial premature ejaculation! The compensatory interval disappears, and the patient's heart rate should increase!"

…

At this time, everyone in the classroom looked at Lu Chen with wonder in their eyes.

Except for the people in District 2 who knew something about Lu Chen, everyone else was secretly wondering when such an outstanding young man came out of the Department of Cardiology at the No. 1 Hospital in Shanghai!

On the podium.

Liu Jun and Zhang Shuqing had bright smiles on their faces.

Liu Jun smiled because Lu Chen solved his problem.

Zhang Shuqing's smile was because he felt a little bit proud of Lu Chen's excellence!

"Okay, now I will make the final summary." Liu Jun put away his smile.

He looked around at the people in the demonstration classroom and said in a loud voice, "If the heart rate is slow, does it mean that a pacemaker is not necessarily implanted?"

"To solve the problem, start from the source and find the essential reason for the slow heart rate, which is often the most effective!"

The words just fell.

A series of prompts popped up in Lu Chen's system panel.

"Congratulations, I received a thank you value +10 from Liu Jun!"

"Congratulations, I received Zhang Shuqing's value +5 from Liu Jun!"

"Congratulations, I received a thank you value +5 from Qin Feng!"

"..."

Because everyone present had senior professional titles, the amount of gratitude given to Lu Chen increased accordingly.

Seventy or eighty people were present, and Lu Chen almost received more than 300 gratitude points!

"It seems like the more case discussions like this, the better!" Lu Chen thought to himself. This kind of benefit is worth many days of clinical work.

The case discussion is over.

Everyone slowly left. As they left, they also paid attention to Lu Chen, a young man who appeared today.

"Lu Chen, please go back later!" Zhang Shuqing stopped Lu Chen who was about to leave.

"Okay." Lu Chen was about to go back and write today's medical records. Seeing this, he could only sit down silently.

Jiao Jingqiu glanced at Lu Chen and left without saying anything else.

Today, her self-confidence was destroyed.

Destroyed by a doctoral student who had only been in clinical practice for a few years!

…

shown in the classroom.

Only Lu Chen, Liu Jun, and Zhang Shuqing were left.

"Lu Chen, this is Director Liu, the director of our Department of Cardiology." Zhang Shuqing immediately stepped forward and introduced.

"Hello, Director Liu." Lu Chen said, neither humble nor arrogant.

"Well, okay!" Liu Jun laughed loudly, patted Lu Chen on the shoulder, and looked at Lu Chen carefully, "Where are you from?"

Gu Xin

"He's not a native of Magic City, he's from near Jiangcheng in Huzhong Province."

"Oh, Jiangcheng? This is a great place!" Liu Jun nodded slightly, "I went to Jiangcheng once when I was young. I was deeply impressed by the humanities and customs there."

Liu Jun was indeed a good man, and he immediately shortened the distance between him and Lu Chen.

"You also have a bachelor's degree and a master's degree from Jiangcheng?" Liu Jun continued.

Lu Chen shook his head, "My undergraduate degree is from Jiangcheng University, and my master's degree is from Jinghua University."

"Jinghua?" Liu Jun was slightly startled, and his expression changed again when he looked at Lu Chen, "Your master's tutor...couldn't he be Li Yao?"

Lu Chen was startled, "Yes!"

He looked at Liu Jun strangely.

This was his first meeting with Liu Jun. How did Liu Jun know about his mentor in Beijing?

Liu Jun seemed to see Lu Chen's doubts and smiled, "Your supervisor recently published a top-ranked paper. This kind of paper is extremely rare no matter which hospital it is in, so we must be paying attention to it. "

"Professor Li Yao once communicated with me that her students would come to Magic City. I didn't expect you to come so early."

Lu Chen came to the hospital two months early.

There is still one month left before school starts.

Lu Chen understood this time. Professor Li Yao had told him before that he would say hello to his old classmates in Shanghai and ask them to help take care of him.

Unexpectedly, this relationship is actually the chief director!

Li Yao's relationship is really tough.

But having said that, if the relationship was not strong, Teacher Li Yao would not be able to win the "Outstanding Young Scholar" this year.

"Director Liu, this is not a good thing for me as a student!" Zhang Shuqing said with a smile, "When I took out his resume, it was very eye-catching!"

"Really?" Liu Jun smiled slightly. He liked Lu Chen more and more. "Lu Chen, come with me."

"Yes." Lu Chen nodded.

He followed Director Liu Jun and came to the VIP ward of the Cardiology CCU.

...

In the VIP ward.

A male patient in his fifties was lying on the bed.

Next to him stood a man who was slightly older than him, with a square face, dressed in a suit, and a stern look.

When he saw Liu Jun and the other two come in, his face did not change, but he nodded slightly: "Director Liu, you are here."

"Director Zou, why are you here in person?" Liu Jun hurried forward and smiled.

"I heard that you had a big discussion within the department, I came to see the results."

Zou Yi said calmly, he looked behind Liu Jun, why is there a young doctor?

He looked a little unhappy, the fewer people knew about his coming to the hospital, the better.

"Director Zou, the results of our discussion have come out." Liu Jun said seriously, "It may be necessary to do radiofrequency ablation surgery."

"Hmm?" Zou Yi frowned, "Isn't it a pacemaker implanted? Why do you need ablation again?"

Zou Yi has already asked the professor in Kyoto, and others suggested implanting a pacemaker after looking at the electrocardiogram.

Why is ablation required in Magic City? !

However, between ablation and pacemaker implantation, Zou Yi is definitely more inclined to ablation.

The pacemaker is a permanent foreign body implanted, and there will be many problems in the later treatment.

"How should I put it..." Liu Jun organized his words and wanted to use the simplest language to explain the cause of the patient's illness, "In fact, the patient's slow heart rate is the result, caused by frequent atrial premature beats. After the atrial premature beats are ablated, the patient's heart rate will increase!"

"Hmm." Zou Yi nodded slightly, "How about this, you help me get a copy of the case data."

He decided to take all the medical records and ask the doctor in Magic City again.

"Okay, I'll ask Dr. Lu to send it to your secretary later." Liu Jun said, "Dr. Lu is also the main person participating in this discussion and has made great efforts for this discussion."

"Just send the case to me directly." Zou Yi glanced at Lu Chen and didn't care.

He didn't quite believe that with so many chief professors around, what use could a young doctor have?

This young doctor was probably just a person that Liu Jun had promoted to focus on training. 　　16377/10312766