I Can See Health

After not working in a clinic for a long time, Lu Chen felt a long-lost sense of familiarity when he came to the ward to check on patients again.

The blood on his body seemed to be boiling.

Sure enough, he still preferred working clinically.

During the recent period, the affairs between Yunhua and the Fifth Academy of Magic City consumed too much of his energy.

Now, all aspects of the Fifth Academy of Magic City have gradually stabilized.

Next, Lu Chen will return his focus to clinical practice and scientific research.

"Director Lu, I have another patient here." Gu Xinyue said with a smile, "It seems that he is still a fan of yours and came here specifically to see you."

"Is the condition very difficult?" Lu Chen said with a smile.

"This... is not bad." Gu Xinyue paused, "You will know after you come and see it."

"Okay, let's go take a look together."

Lu Chen took Gu Xinyue and Jin Miao to another ward.

Behind them were a group of doctors, including attending doctors, resident doctors, and some interns.

Just like in the TV series.

Lu Chen stood in front alone and led the majority to the patient's room.

Gu Xinyue handed the patient's medical records to Lu Chen and introduced: "The patient is female, 18 years old.

"Admitted to hospital due to repeated syncope for 1 month."

"The patient suffered from heart palpitations one month ago. He fainted and fell to the ground a few seconds later. He lost consciousness and was accompanied by twitching of his limbs. There was no eyes turning up or foaming at the mouth. He woke up on his own after about 15 seconds."

"I went to a local hospital for treatment. The details are unknown, but the results were not good. Similar situations happened every once in a while, and the frequency became more and more frequent. I fainted 5 times in the past day."

Having said this, Gu Xinyue paused and added a piece of past history.

"When the patient was 5 years old, that is, 13 years ago, he underwent surgical thoracotomy repair for ventricular septal defect."

Lu Chen nodded, already constantly deducing various situations in his mind.

A group of people walked into the ward.

The family members who were accompanying him in the ward were also shocked.

"Family, this is Director Lu Chen of our Department of Cardiology."

Gu Xinyue said quickly to the patient’s family.

"You are Director Lu!"

The patient's family member is a middle-aged man, who seems to be the patient's father.

His attitude towards Lu Chen was very humble.

"Well, hello." Lu Chen nodded and greeted the middle-aged man loudly.

"Director Lu, Director Zou Yi asked me to come to you." The middle-aged man directly stated his intention. "He said that you might have a chance to prevent my daughter from inserting the pacemaker."

Lu Chen raised his eyebrows, put in a pacemaker?

For an 18-year-old girl in her prime, getting a permanent pacemaker will cause her to face many problems in the future.

For example, battery replacement may lead to wire problems, bag infection problems, etc., which must be treated with caution.

Therefore, differential diagnosis must be made and all possibilities must be considered.

If the cause is reversible, then the installation of a permanent pacemaker can be avoided. For example, atrioventricular block caused by acute viral myocarditis may be reversible.

Gu Xinyue took out the patient's electrocardiogram at this time.

There were three EKGs in total.

Lu Chen picked it up and looked at it carefully.

Sure enough, it was three copies, an electrocardiogram of atrioventricular block.

"Let me see the patient first."

If you look at electrocardiograms separately from clinical patients, you are just trying to be a rogue.

Lu Chen walked to the girl's side.

Begin to ask for relevant medical history carefully.

Including the symptoms, causes, course, duration, relief methods, etc. of the first onset.

Lu Chen's consultation was very careful.

After the questioning, there was a physical examination.

The patient's physical examination results showed that the breath sounds in both lungs were clear, and no wet rales were heard in the lower lungs.

The heart boundary was not enlarged, the heart sounds were normal, the rhythm was irregular, no murmurs were heard, and there was no edema in both lower limbs.

Taking back their stethoscopes, everyone looked at Lu Chen curiously.

For this patient, the opinion of the external hospital was to insert a pacemaker.

The diagnosis results from other top hospitals in Shanghai were all syncope caused by atrioventricular block.

Director Lu Chen, do you have any different opinions?

"Dr. Gu, what do you think about these three diagnoses?" Lu Chen asked.

Gu Xinyue has been studying this electrocardiogram for a long time.

He said without hesitation: "I am currently considering first-degree atrioventricular block, high-grade atrioventricular block, complete right."

"Yes." Lu Chen nodded, "Then according to your opinion, this patient must have a pacemaker?"

Gu Xinyue did not deny it, "Absolutely."

When the patient's family members heard this, their expressions became very ugly, "Director Gu, my daughter is only eighteen years old this year. Please think of a way, I beg you!"

There was a trace of pleading in the voices of the family members.

If it weren't for this glimmer of hope, the family members would not have taken the patient around to seek medical treatment. Finally, they listened to Zou Yi's advice and came to the Fifth Hospital of Magic City.

The family member seemed to have thought of something and turned to look at Lu Chen, "Director Lu, I heard Director Zou Yi say that one of his nephews was given an ultimatum by all hospitals and must have a pacemaker installed. "

"But in the end, when he came to you, you helped him solve the problem, find the cause, and finally saved him from implanting a permanent pacemaker."

No wonder the patient’s family members would find the Fifth Hospital of Magic City!

At the beginning, Lu Chen helped Zou Wei find the cause of atrioventricular block and prevented him from implanting a permanent pacemaker.

"Family members, please don't get excited." Lu Chen said seriously, "We are analyzing the condition and helping you solve the problem. If it is possible not to put in a pacemaker, we will definitely not do it."

The family members felt much calmer after hearing this.

Lu Chen originally wanted to analyze the condition in the ward, but now it seems that this is not possible.

The patient's family members are an uncertain factor and are likely to interfere with the analysis of the condition.

"Doctor Gu, let's go back to the office to discuss first." Lu Chen said to Gu Xinyue, and then looked at the family members beside him, "When we have the results, we will tell you the final diagnosis and treatment plan."

"Okay, then I'll trouble Director Lu."

Although the family members really want to listen to the discussion process, this kind of condition analysis is generally not open to the public, and only gives the patient a final result.

...

Lu Chen led a group of people back to the demonstration room of the cardiology department.

Except for the doctor on duty, all other doctors gathered together.

As the attending physician, Gu Xinyue introduced the patient's condition again.

"We consider high-grade atrioventricular block, which causes cardiogenic syncope. This patient must have a pacemaker." Gu Xinyue reiterated his point of view.

All the eyes of the audience were cast on Lu Chen.

Lu Chen did not answer this question directly, but asked, "Put aside the patient's symptoms for now. Let me think about it. Did you finish the diagnosis of these three electrocardiograms so quickly?"

The doctors were shocked when they heard Lu Chen's words.

Isn't this electrocardiogram the high-grade atrioventricular block that Gu Xinyue mentioned?

Is there any other diagnosis?

Seeing Lu Chen's confident look, Gu Xinyue turned his attention to the three electrocardiograms again.

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