I Can See Health

Came to the Catheterization Laboratory of the Cardiology Department of Guanghai Central Hospital.

The decoration structure here is similar to that of Guanghai No. 1 Hospital.

"Director Lu, our CCU currently has two wards." Dong Cheng smiled, "One ward is mainly for various critically ill patients, and the other ward is the postoperative observation room, with a total of fifty beds. "

"Well, there are quite a lot of beds." Lu Chen nodded.

Guanghai Central Hospital has various critical equipment, such as ECMO and IABP, with a relatively high usage rate.

"The talent gradient of our doctors is that at least they all started with a doctorate." Dong Cheng continued, "Many doctors have studied abroad."

"How much was the National Natural Science Foundation of China's cardiology department last year?"

Lu Chen asked a crucial question.

In addition to necessary clinical surgical equipment, the most important thing for large tertiary hospitals is scientific research funds.

"this……"

Dong Cheng paused and said, "Not a lot."

"Oh." Lu Chen smiled, Dong Cheng naturally didn't say much.

Guanghai has a lot of money, but its foundation is still not comparable to Kyoto and Magic City.

"There will definitely be more and more in the future." Dong Cheng forced a smile.

Lu Chen did not continue to struggle with this issue.

Next, Jin Miao took Lu Chen to visit the cath lab.

TAVR, coronary artery and electrophysiology, the current domestic high-end surgical procedures, can be carried out smoothly in the cath lab of the central hospital.

"Well, it's not bad. The equipment and equipment are all top-notch in the country." Lu Chen looked at the hardware facilities and nodded slightly.

The hospitals in Guanghai are still rich!

The equipment here is basically first-class in the country, and even some of it is the most advanced in the world.

"Director Lu, there will be a TAVR surgery later. Can you give us some guidance?" Jin Miao showed a smile.

"Well, when will the operation start?"

Lu Chen and Xu Wei made an appointment to go out for dinner together. If it was too late, he would not be able to participate in the operation.

"Very soon, ten minutes at most." Jin Miao said immediately, "You can go to the lounge next door and rest for a while. When the patient arrives, I will call you out."

"No need." Lu Chen smiled, "I'll just walk around in the cath lab, you don't have to worry about me."

At this time, Dean Dong Cheng had other things to do, so he left early.

Next, Jin Miao and Shi Langqin accompanied Lu Chen.

…

Come to the lounge.

Lu Chen smiled and said to Jin Miao who was looking aside: "Jin Miao, it seems that you are living a pretty good life after coming to Guanghai Central Hospital."

Jin Miao touched the back of his head and smiled honestly, "Director Lu, your previous teachings are better."

Before Lu Chen went to Guanghai No. 1 Hospital, Jin Miao was just a junior doctor and was insignificant in the department.

Even if he took a day off and didn't go to the department, not many people might find out.

It was Lu Chen's arrival that brought vitality to the cardiology department of Guanghai No. 1 Hospital.

He was lucky enough to be assigned to the same group as Lu Chen and received the longest period of surgical instruction.

"Everything is done through your own efforts." Lu Chen smiled, "You will be the chief surgeon of this operation later, right?"

Jin Miao nodded immediately, "Yes."

"That's good. Let me see if your surgical skills have improved!" Lu Chen said.

Jin Miao was full of confidence, "Director Lu, don't worry, the volume of surgeries has not decreased at all since we came to the Central Hospital."

At Guanghai No. 1 Hospital, Lu Chen's department was suppressed by the hospital leaders at that time.

The amount of surgery is not large.

When I came to Guanghai Central Hospital, the atmosphere of the department here was much better than that of Guanghai No. 1 Hospital!

Shi Langqin also vigorously developed TAVR, and he valued Jin Miao's surgical skills very much.

Therefore, Jin Miao's surgeries here have even doubled compared to those at Guanghai Hospital!

"Okay, let's wait and see." Lu Chen smiled.

…

Just when everyone was about to walk out of the lounge and go to the cath lab to observe the operation, a resident doctor suddenly ran in in a hurry.

"Professor Shi, there is a patient in CCU who is dying! Director Tian wants you to go and have a look!"

Shi Langqin stood up immediately with a serious expression, "Is he the patient he had this morning?"

"Yes, it's severe aortic stenosis!" The resident doctor nodded repeatedly, looking very anxious.

"Okay, I'll go now." Shi Langqin said to Lu Chen, "Director Lu, I'm sorry, there is an emergency at my CCU."

"You go ahead, I'll go observe Jin Miao's surgery later." Lu Chen said.

"That's not what I meant." Shi Langqin was a little embarrassed, but he still gritted his teeth and said, "Director Lu, I want you to accompany me to see this patient. His condition is more complicated and he is likely to need surgery. Emergency surgery!”

"This...that's okay." Lu Chen did not refuse.

Professor Shi Langqin could even lower his face and ask him to take a look. Then this patient's condition is definitely very complicated.

Lu Chen would never let go of these difficult cases.

At present, there may be an emergency TAVR surgery, so Jin Miao's TAVR surgery, which is a common clinic, has to be stopped for the time being.

Jin Miao came to the CCU ward with Lu Chen.

…

CCU ward, emergency room.

Doctors and nurses are carrying out rescue operations in an orderly manner.

"Adrenal speed, dopamine kicks in!"

"Prepare to open central venous access!"

"Pay attention to brain protection and have IABP ready."

"..."

Lu Chen followed Shi Langqin and saw the patient lying on the bed with only 32 health points (---)!

"Teacher Shi, you are finally here." The CCU doctor named Director Tian immediately walked up to Shi Langqin, "This is the patient I told you about this morning. He has heart valve disease and severe aortic valve stenosis. , severe pulmonary hypertension, and a history of myocardial infarction.”

After saying this, Shi Langqin nodded slightly, "Continue to talk about the disease."

After a pause, Director Tian continued: "The patient was admitted to the hospital due to chest tightness and asthma for more than a year. The main symptoms are gradually worsening chest tightness and shortness of breath."

"The condition continued to worsen after being admitted to the hospital for conservative treatment for 6 days. I just had a sudden difficulty breathing and coughed up pink frothy sputum. HR was 111 times/min. BP dropped to 75/33mmHg. RR was 24 times/min. SpO2 was under mask oxygen inhalation (6L/min). Only 70%-80%.”

"The physical examination during this admission showed: a grade 5/6 systolic ejection murmur was heard in the auscultation area of ​​the aortic valve, the heart function was level IV, and there was moderate edema in both lower limbs. Auxiliary examination: The cardiac color ultrasound examination showed that the whole heart was enlarged, and the aorta was Valve stenosis (extremely severe), pulmonary hypertension (moderate-severe), left ventricular systolic and diastolic function were significantly reduced, and ejection fraction (EF) was 28%.

"The patient was transferred from the general ward to our CCU."

Lu Chen and Shi Langqin both had serious expressions on their faces.

Judging from the auxiliary examination and physical examination, the patient is already a patient with advanced heart failure and acute attack.

All these patients have a narrow escape from death!

"Brother Shen!"

"Um!"

When Shen Changqing walks on the road, whenever he meets someone he knows, he will say hello or nod to each other.

But no matter who it is.

There was no unnecessary expression on everyone's face, as if they were indifferent to everything.

To this.

Shen Changqing has become accustomed to it.

Because this is the Demon Suppression Division, an organization that maintains the stability of the Qin Dynasty. Its main responsibility is to kill monsters and monsters. Of course, there are also some other side jobs.

It can be said.

Everyone in the Demon Suppression Division has a lot of blood on their hands.

When a person is used to seeing life and death, he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but he got used to it over time.

The Demon-Suppressing Division is huge.

Those who can stay in the Demon Suppressing Division are all powerful masters, or those who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppressor Division is divided into two professions, one is the Guardian Envoy and the other is the Demon Slayer.

Anyone who enters the Demon Suppression Department starts from the lowest level as a demon slayer.

Then he will be promoted step by step, and he is expected to eventually become a guardian envoy.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level among the demon slayers.

Possessing the memory of a previous life.

He is also very familiar with the environment of the Demon Suppressing Division.

It didn't take long for Shen Changqing to stop in front of a loft.

Unlike other places in the Demon Suppressing Division that were full of chills, the attic here seemed to stand out from the crowd, showing a different kind of tranquility in the bloody Demon Suppressing Division.

At this time, the attic door was open, and occasionally people came in and out.

Shen Changqing only hesitated for a moment before stepping in.

Enter the attic.

The environment changes in vain.

The fragrance of ink mixed with the faint smell of blood hit his face, causing him to frown instinctively, but then relaxed it quickly.

There is almost no way to cleanse away the smell of blood on everyone in the Demon-Suppressing Division.

:,!