I Can See Health

   Chapter 212 Why didn't Lao Fan leave?

   "You?" Lu Chen was stunned.

   The wheezing sound suddenly disappeared!

   Wheezing is mainly a dry rales caused by lesions in the respiratory tract.

  Clinically, it is mainly due to the impact of the mucous membrane of the congested and edematous respiratory tract through the relatively narrow air flow, which is like a whistle blowing sound.

   The patient lowered his head and sighed: "Don't push me on hormones, you let her divorce me, and I'll be fine!"

  Lu Chen: "..."

  Yin Xinhua: "..."

  It turns out that fear can also trigger an asthma attack?

  Although Lu Chen knew that mental factors could affect asthma before, this was the first time he saw such a situation today.

   The wheezing sounds in the patient's lungs, appearing and disappearing so strangely and quickly.

  Lu Chen even suspected that there was something wrong with his stethoscope.

   But the stethoscope is 3M, and it costs several thousand dollars. It should not be a problem with the stethoscope!

   comforted the patient.

  Lu Chen observed at the patient's bedside for another five minutes, and the patient's asthma was no longer ill.

  …

   Back to the doctor's office.

  Lu Chen flipped through the internal medicine book in the office.

   Find the chapter on Respiratory Medicine.

   "Asthma patients not only suffer from physical and pathological damage to the airway, but also have mental and psychological abnormalities."

   "Mental factors such as nervousness, anxiety, fear, irritation, depression, or hyperexcitability can trigger or aggravate asthma."

   On paper, you will feel shallow!

   These words, Lu Chen read many times.

   However, if it wasn't for his own experience and experience, Lu Chen would have a hard time believing that there was such a person, whose asthma was triggered by fear.

  Fan Zhiping and Yin Xinhua also felt novel.

   Both of them are cardiologists, and there are not many patients who have encountered this kind of asthma.

  …

   "Lu Chen, why don't you let Dr. Fan go back to the bedroom."

   Taking advantage of Fan Zhiping's time to go to the toilet, Yin Xinhua quickly approached Lu Chen and said.

   It's nine o'clock at night now.

   If he doesn't leave again, he may really stay in the department to rest at night.

  Lu Chen's expression was rather helpless, "Senior Sister Yin, I told Brother Fan, but he won't leave, so I can't do anything... I can't drive him away."

   "Don't go?" Yin Xinhua's face turned black.

   This Doctor Fan is too serious!

  Other training doctors wish to go back to rest early.

   He is so good, he actually took the initiative to stay on duty!

   Actually, Fan Zhiping's mind is extremely simple.

   Within a few hours of this night shift, two interesting cases have already been encountered.

   Sure enough, following "Professor Lu Chen" is a different feeling!

   He came to Jinghua Second Hospital to broaden his horizons.

   If you don’t seize this opportunity, it will be no different from salted fish.

  …

   Back to the doctor's office.

  Fan Zhiping found that Yin Xinhua looked at him strangely.

   "Cough, Doctor Yin, what's the matter?"

  Yin Xinhua came back to his senses and said quickly, "That's a bit late now, do you think..."

   Yin Xinhua was interrupted by Fan Zhiping before he finished speaking.

   "It's okay, don't worry about me, I won't go back tonight, I see there is a bunk in the duty room, Lu Chen sleeps in the bottom bunk, I'll sleep in the top bunk later."

  Yin Xinhua could only helplessly smile, "Okay, okay..."

   It seems that Comrade Lao Fan has already made up his mind to stay.

  Yin Xinhua had no choice but to pray for a peaceful night.

  …

   9:30 pm.

  Lu Chen has completed all the medical records.

During the    period, many family members of patients came to the office to inquire about their condition.

  Many family members do not have time to come to the hospital during the day and only have time to come to the hospital at night.

   But there is only a doctor on duty at night, and it is impossible to understand the condition of each patient.

  Although communication was a little troublesome, Lu Chen tried his best to communicate and explain his condition. If he couldn't solve it himself, he asked the patient's family to find the doctor in charge of the bed tomorrow.

   After Lu Chen's efforts, he also gained a lot of gratitude.

  …

   "Dududu..."

   The phone's WeChat alert sounded, and Lu Chen thought it was a WeChat group message.

   Picked it up and took a look, I didn't expect it to be a message from Senior Brother Dong Hao.

  Lu Chen remembered that he seemed to have gone to the endocrine cycle.

   It's so late, what does Dong Hao have to do with him?

   Open WeChat when in doubt.

   Brother Dong Hao sent him an electrocardiogram.

   "Junior Brother, please help me to see this electrocardiogram."

  It turned out to be a picture, is it that Brother Dong Hao is also on the night shift tonight?

  Lu Chen opened the big picture of the electrocardiogram and began to interpret it carefully.

   ECG, narrow QRS complex tachycardia, heart rate about 180 beats/min.

   No p waves were seen in all leads, and retrograde p waves were occasionally seen.

"Senior brother, this should be... a typical paroxysmal supraventricular tachycardia." Lu Chen immediately replied with a message, and then added, "This patient can use physical stimulation first, if not, use a little more. Dalong."

   "Okay, thank you, Junior Brother."

   Dong Hao's message came back, but Lu Chen was stunned by the next sentence.

   "However, this is not the patient's, it's mine..."

   Ah, is this the electrocardiogram of Senior Brother Dong Hao?

  Lu Chen was slightly surprised, "Senior brother, are you in the emergency department now?"

   He took another look at the time of this electrocardiogram. It was done at 9:20 in the evening, just recently.

   And looking at the paper material of this ECG, it should be the ECG chart of the Emergency Department of the Second Jinghua Hospital.

   Dong Hao replied: "Well, I have been on a few night shifts recently, and I feel a little uncomfortable in my chest. It got worse tonight, so I came to the emergency room for an electrocardiogram."

   After getting along for more than two months, Dong Hao still believes in Lu Chen's judgment level.

  Since Lu Chen said it was a paroxysmal supraventricular tachycardia, then there is a high probability of it.

   "Senior brother, then you can find a time to come to the Cardiology Department for ablation surgery?" Lu Chen said.

  Paroxysmal supraventricular tachycardia is a cardiac arrhythmia, which is one of the few diseases that can be cured in cardiology.

  Ablation surgery is to insert electrodes into the heart to ablate the power-off pathway, so that this arrhythmia will not recur in the future.

   After a while, Dong Hao replied.

   "Forget it, I haven't committed that many times. It's inconvenient to be hospitalized now, so I'll talk about it later."

   The prognosis of paroxysmal supraventricular tachycardia is relatively good.

  When the arrhythmia does not occur, the patient is generally the same as the normal person, and there is no abnormality.

   "Senior brother, then you should eat some Betaroc first, take a rest, don't stay up late." Seeing Dong Hao's refusal, Lu Chen had to say, "Next time you get sick again, you must come to the Cardiology Department to be hospitalized."

   He knew that Dong Hao was preparing for the postgraduate entrance examination.

   In addition to going to work and working night shifts, I have to review various homework after work.

  Although the prognosis of paroxysmal supraventricular tachycardia is good, if the symptoms occur frequently, it can also cause various serious complications.

   "Okay, thank you, Junior Brother."

  Lu Chen chatted with Dong Hao for a few more words, and then closed WeChat.

   "Congratulations, +1 for the thank you from Dong Hao!"

  …

  Lu Chen just put down his phone when the nurse on duty came again.

   Lu Chen's heart tightened, this night, it really didn't stop.

   (end of this chapter)