I Can See Health

No. 2 Hospital of Magic City, outpatient building.

Lu Chen has now slowly taken over Zhang Shuqing's outpatient position.

He spends one day a week outpatient service.

Zhang Shuqing spends more time on scientific research.

Today, it was Lu Chen's turn to go to the outpatient clinic again.

In the morning, he bought soy milk and fried dough sticks in the canteen, and then came to the consulting room.

The graduate students in the group had already arrived in the clinic in advance and helped Lu Chen turn on the computer.

It feels really good to be able to help!

Lu Chen remembered that a year ago, he followed Li Yao to the outpatient clinic.

Now, he can go out alone.

"Teacher Lu, what time is it, shall I call the first patient in?" the accompanying graduate student asked.

Their tasks, in addition to helping teachers write medical orders and writing medical records, also need to maintain order on site.

"Okay, just call." Lu Chen smiled.

…

As Lu Chen's reputation became more and more famous, many patients from surrounding counties and cities came to see him.

Lu Chen used to see up to thirty patients a day.

But now, there are about sixty patients calling Lu Chen every day!

It was twice as much as before.

Lu Chen couldn't help but speed up the speed of looking at the patient.

Otherwise, all patients will not be seen on the same day.

"Auntie, your symptoms of chest tightness and chest pain are more obvious after activity, and you have high risk factors for coronary heart disease and a genetic history. I suggest you go directly for an angiography examination."

"Uncle, after you have your valve replaced, you will need to take warfarin for a long time and monitor your INR regularly. Don't forget it!"

"Uncle, your blood pressure level does not require medication for the time being. You can exercise and control your diet for three months. If your blood pressure is still high, you need to take medication!"

"..."

Most of the patients in the outpatient clinic have minor ailments.

If he really encountered a bad disease, Lu Chen would not have such a cheerful tone.

He must have frowned and thought for a long time before he started speaking.

Just like the patient in front of me.

In Lu Chen's eyes, the old man's health was only 49 (——)!

Looking at his inspection report in the outer hospital, Lu Chen frowned deeply.

The patient's cardiac ultrasound showed that the aortic valve was extremely stenotic, with a valve orifice area of ​​0.5 square centimeters and a flow rate of 5.5hg.

CT showed severe calcific stenosis of the aortic valve, with a calcium score of 2208, and there was also a small amount of pleural effusion and pericardial effusion.

"Uncle, what's wrong with you now?" Lu Chen asked.

"When I move even a little bit, I feel chest tightness and fatigue, and sometimes my eyesight goes black."

The old man explained his symptoms very clearly.

Lu Chen nodded slightly, "Your main problem is severe aortic valve stenosis!"

Aortic valve stenosis is very harmful and can cause cardiac arrhythmias (atrial fibrillation, ventricular premature, ventricular tachycardia, etc.).

Some aortic valve stenosis can also cause embolism in the systemic circulation, and the dislodgment of the embolus may cause stroke. Severe aortic valve stenosis can cause syncope and even sudden death.

The uncle has already developed symptoms of amaurosis and syncope. Pleural effusion and pericardial effusion are signs of decompensation of heart failure, which may be complicated by sudden death at any time.

"Dr. Lu, I came to you this time because I actually want to do TAVR surgery!" Meng Xiangsheng looked at the young doctor in front of him. After hesitating for a moment, he finally understood the purpose of his visit.

When he first arrived at the Second Academy of the Magic City, he was full of expectations for "Lu Chen".

But when I saw myself, it felt like a bucket of cold water had been poured on my heart.

Too young!

If it weren't for the photo at the door of the clinic, Meng Xiangsheng might have thought that Lu Chen was just a student.

Why does Dr. Fan Zhiping recommend this kind of doctor?

Lu Chen didn't notice anything unusual about Meng Xiangsheng.

He was concentrating on examining the patient at this time.

"Do you know about TAVR surgery?" Lu Chen was slightly surprised.

Generally, few people who are not in the cardiovascular field know about this new procedure.

"I'm not a native of Shanghai. I come from Beijing." Meng Xiangsheng said softly, "The doctor at the local hospital recommended me to come here to see you."

"Jinghua? Are you here to find me?" Lu Chen was stunned.

He flipped through the patient's medical records.

After a closer look, it turned out to be Fan Zhiping from Feng M County? !

An old acquaintance!

Seeing Lu Chen's expression, Meng Xiangsheng asked doubtfully: "Dr. Lu, do you know Dr. Fan?"

Lu Chen nodded, "I also came from Jinghua, and I once worked with Fan Zhiping."

Hearing this, Meng Xiangsheng suddenly realized.

No wonder Fan Zhiping recommended Lu Chen to him, it turns out the two of them knew each other!

At this time, Meng Xiangsheng already didn't believe Lu Chen.

"Since he is a patient from Jinghua, I will be direct." Lu Chen said, "In a state like your father's, you need to undergo TAVR surgery within a time limit. Otherwise, if it continues, the condition will get worse and worse!"

"But surgery also has certain risks. If you agree to the surgery, we just have a bed in our department and can go through the admission procedures immediately!"

If Meng Xiangsheng had been told before meeting Lu Chen that he could be hospitalized directly when he came to the Second Hospital of the Magic City, he would have been very excited.

But after seeing Lu Chen, he felt a little shaken.

Could it be Fan Zhiping from Jinghua who has some py deal with Lu Chen?

Otherwise, there is no need for Fan Zhiping to ask him to find such a young doctor when there are so many top hospitals and top doctors in Shanghai!

"Doctor Lu, let me think about it."

Meng Xiangsheng's words made Lu Chen stunned.

Still need to consider?

Only then did Lu Chen notice Meng Xiangsheng's hesitant gaze.

It seems that he is probably another patient who doesn't trust himself very much.

Lu Chen wasn't too angry either.

He has encountered this situation too many times!

People always have stereotypes about something.

However, Lu Chen didn't explain too much.

The foundation of a good doctor-patient relationship is trust.

If the patients and family members in front of you don't trust you, there is no need to force you to stay.

Forced to stay, if something goes wrong with the operation, it may be even more troublesome!

"Okay then." Lu Chen said to the graduate student on the side, "Call the next patient in!"

…

Meng Xiangsheng took his father out of Lu Chen's consulting room.

"Xiang Sheng, UU Reading www.uukanshu.net Actually, I think Dr. Lu is very good." Meng Xiangsheng's father said, "He was very serious and careful when he examined me. And the questions he asked me were all targeted. sex."

"Dad, but he... is too young." Meng Xiangsheng frowned, "I think he is in his early twenties, and he probably doesn't have much surgical experience. I wouldn't trust him to operate on you. "

"Hey, you kid is usually quite smart, why can't you figure it out at this time?" Meng Xiangsheng's father shook his head slightly, "Look at these doctors who are outpatients, who is as young as Dr. Lu?"

"No." Meng Xiangsheng shook his head.

"That's right. At his age, he can be an outpatient in a top hospital like the Second Hospital of Shanghai. Do you think Lu Chen can be simple?"

Meng Xiangsheng was stunned and felt that his father had a point.

But the preconceptions were ingrained in him.

Meng Xiangsheng decided to go to a few more hospitals and see a few more doctors. After comparison, he finally chose the best surgeon. 16377/10398643