I Can See Health

The general advantage of being hospitalized is that you can manage yourself most of the time.

No patients to manage, no ward rounds to do.

After talking to Lu Zhifeng on the phone, Lu Chen began to read literature in the lounge.

Although the thesis has come to an end, Lu Chen's habit is to study the latest hot literature every day.

Because of the help of the "Literature Reading" skill card, Lu Chen was able to absorb various clinical and scientific research hot topics as quickly as possible.

Current medical exploration is developing rapidly.

More and more diseases are being discovered one after another.

There are also some pathogenesis mechanisms that were not clear in the past, but have also been studied by scientific researchers.

As a clinician, if you are only satisfied with your current knowledge, you will definitely fall behind.

…

However, Lu Chen had just read two articles when the hospital chief's dedicated phone rang.

Another emergency consultation!

During the emergency consultation in the Department of Gastroenterology, the doctor from the other department suspected that the patient had a myocardial infarction.

Lu Chen didn't waste any time and rushed towards the gastroenterology department in a hurry.

It really doesn’t stop!

By the way, the ringtone of the phone has not been changed yet. Lu Chen thought that after reading this patient's book, he must change the ringtone!

Come to the second ward of the Department of Gastroenterology.

Lu Chen quickly looked at the patients undergoing consultation.

He is a middle-aged man who was admitted to the hospital last night because of stomach pain after drinking.

The emergency department suspected a gastrointestinal disease, so he was admitted to the gastroenterology department.

The electrocardiogram on admission was normal, but today the abdominal pain worsened. The electrocardiogram was reviewed and the st segment was elevated in the inferior leads of the electrocardiogram!

The myocardial enzymes were rechecked and the results were all elevated!

"Acute inferior myocardial infarction!" Lu Chen diagnosed immediately, "Need to do PCI immediately!"

"Doctor, do you think I have myocardial infarction?" The middle-aged man couldn't believe it. "I know about myocardial infarction. My uncle had a myocardial infarction. He had chest pain at the time! But I didn't have chest pain at all. I just had stomach pain. It hurts here! How could I have a heart attack?”

As he spoke, the man pointed at his belly with confusion on his face.

"Who said that a heart attack must be abdominal pain? Abdominal pain must not be a heart attack?" Lu Chen asked back.

"But myocardial infarction is a kind of heart disease. How can it be possible that the heart doesn't hurt, but other places hurt!" The middle-aged man was still stubborn.

Lu Chen frowned and said: "Then let me tell you now, there are many places for myocardial infarction. In addition to chest pain, it can radiate to the left shoulder, left upper limb, inner left upper arm, fingers and rings. Some even only have tightness in the throat and tongue. Pain and toothache.”

“Everyone has a toothache and goes to the dentist, only to find out it’s myocardial infarction!”

The middle-aged man shook his face and folded his arms, "Stop talking, no matter how much you say to scare me, I won't believe it anyway!"

Normally when encountering such patients, Lu Chen would not tolerate them.

Lu Chen said expressionlessly: "Myocardial ischemia occurs during myocardial infarction. Excessive metabolic products accumulate in the myocardium, which stimulates the cardiac autonomic nerve sensory afferent fibers, leading to increased excitement of somatosensory neurons, causing referred pain in different parts of the body."

"Abdominal pain and other gastrointestinal symptoms may be caused by necrotic myocardium stimulating the vagus nerve during inferior wall myocardial infarction, causing gastrointestinal symptoms, etc."

The middle-aged man tilted his head and ignored Lu Chen at all.

"At present, your symptoms, troponin, and electrocardiogram results are all highly suggestive of acute myocardial infarction. If you don't believe it, it doesn't mean it doesn't exist." Lu Chen said, "Myocardial infarction requires emergency surgery. Contact your family members and ask them to come over quickly."

"No, I have no family."

Lu Chen was not angry and said calmly: "I am talking to you so much because I am a doctor and you are a patient. I have the obligation to explain the condition to you. As for whether you believe it or not, whether it can be cured or not, what does it have to do with me? relation?!"

After exchanging a few words, Lu Chen left.

When you meet this kind of patient, you really can’t argue!

The doctor in charge of the gastroenterology department was also very helpless with this patient, "Dr. Lu, this guy is like this, he is a middle school teacher. We talked about the condition once, but he didn't believe it at all, and he didn't even call the family members."

Lu Chen was quite helpless, "Since the patient doesn't believe it, let him sign it."

"Sign? He really doesn't even have a pen!" The gastroenterologist also looked helpless.

"Then you should pay special attention. Although his general condition is okay, it is an acute myocardial infarction after all, and the risk is very high." Lu Chen said, "Report it to the medical department, or contact their school leaders to handle it."

"Oh, that's all it can do."

When encountering such a strange patient, the gastroenterologist is also in bad luck.

Lu Chen finished writing his consultation opinions and had not yet left the gastroenterology doctor's office.

A phone call came from the medical department.

Lu Chen felt bad after receiving the call.

He was complained by the gastroenterology patient just now!

On the phone, Lu Chen naturally recounted what happened.

The medical department would not embarrass Lu Chen. After a few words, he hung up the phone.

Each ward is monitored and documented with disease history records.

This does not mean that whoever complains will be justified!

However, despite this, Lu Chen was still shocked by this kind of patient.

It can only be said that such paranoid patients often have a poor prognosis!

Return to the CCU lounge.

Lu Chen immediately changed the ringtone on his dedicated mobile phone.

It’s time to say goodbye to “rats love rice”.

…

It happened to be lunch time.

Lu Chen met the doctor from the gastroenterology department in the cafeteria.

As soon as we met, he complained: "Dr. Lu, after you left, the myocardial infarction patient made a fuss in our ward. Finally, I called the security guard over and asked him to sign for discharge. "

Lu Chen just spread his hands and said, "There is nothing we can do. We are really powerless with this kind of patient."

"I agree with both hands!" the gastroenterologist sighed slightly.

After finishing lunch, Lu Chen did not go back to the CCU, but went back to the dormitory to rest.

The dormitory is not far from the inpatient department, and he can arrive at any time if necessary.

…

Just returned to the dormitory.

Lin Shumin rushed over.

"Lu Chen, I heard that you are careful about the general resident of the internal medicine department?" Lin Shumin also looked at Lu Chen in surprise.

When he heard the news, he was shocked.

When did the Department of Cardiology allow Ph.D. students to serve as chief residents? !

"Oh, stop talking, I was deceived too." Lu Chen shook his head helplessly.

Lin Shumin smiled, "I want to be the chief resident, but the hospital won't let me! This is a good opportunity. I heard the monthly salary is quite high!"

The monthly subsidy for a PhD student, UU Reading www.uukａnshu.net, is pitifully small, only more than a thousand yuan, which is just enough for living expenses.

Lin Shumin's tutor is not very reliable either, and his usual subsidies are pitiful.

He does not mean that.

Lu Chen thought for a while, then raised his head and said to Lin Shumin: "Senior brother, you are in my scientific research team, and I will give you a corresponding subsidy every month. Although it is not much, you can usually improve your food."

Lin Shumin heard this and waved his hands quickly, "Lu Chen, don't get me wrong, I didn't mean it this way. What's more, if the paper can be published this time, the hospital will also receive generous rewards!"

Speaking of papers, Lu Chen thought that the magazine's response would be in the next few days.

He turned on the computer and clicked on the email. There was indeed an unread email.

－－－－－－Digression－－－－－

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