I Can See Health

   Chapter 216 Lao Fan is really hot!

  The understanding and trust of patients can allow doctors to lose their psychological burden and do their best to maximize the benefits for patients.

   In the face of the harshness and doubts of the patient, the doctor will become indifferent and sophisticated, and would rather admit his incompetence and give up the optimal treatment plan than take a little risk!

   In this game, the doctor may not be the winner, but the patient is definitely the biggest loser.

  …

  Eight districts in the heart.

  11pm.

   Most of the patients were already asleep.

   The three of Lu Chen also felt sleepy.

   "Okay, nothing to do, let's go to sleep." Yin Xinhua said.

   "Okay." Lu Chen nodded.

  Yin Xinhua slept in the doctor's duty room.

  Lu Chen and Fan Zhiping slept in the bunks of the postgraduate duty room.

   After taking a shower, Lu Chen went to bed.

   And Fan Zhiping finally had a chance to be alone with Lu Chen, so he seized the time and started his own questioning mode.

   "Lu Chen, who did you learn that electrocardiogram from?" Fan Zhiping said suddenly.

  As a cardiologist, Fan Zhiping especially wanted to learn electrophysiology well.

  Electrophysiology is also the foundation of a good cardiologist.

   If you really understand the ECG graphics and don’t understand the principle of the ECG, it is no different from rote memorization.

   "This..." Lu Chen's tone froze, he couldn't say that he was hanging up.

   He completely relies on the super comprehension ability provided by the systematic skill book to make progress so fast.

   But Fan Zhiping did not have it.

   "When I was studying as an undergraduate, there was a teacher who was an expert in electrophysiology, and my father was also a doctor." Lu Chen said.

   Throw the blame on teachers and parents, that's right.

  Fan Zhiping nodded. It turned out that Lu Chen's parents also studied medicine.

   Presumably Lu Chen's father is also an expert in the medical field!

  Lu Chen's eyes and ears have been stunned since he was a child, and it is understandable that he has become the current situation.

   "Brother Fan, if you want information on electrophysiology, I have a lot of information here." Lu Chen said, "You can send an email when you get there, and I'll send you a copy."

   "That's great." Fan Zhiping laughed.

   The doctors in primary hospitals have limited access to cutting-edge knowledge.

   Many times, Fan Zhiping wanted to know the progress of scientific research in a certain aspect, but he was suffering from no data and no way.

   After just a few days of getting along, Fan Zhiping no longer knew what words to use to describe Lu Chen.

   In the beginning, what Fan Zhiping admired most was Lu Chen's electrocardiogram level.

   But now that he has seen Lu Chen's clinical skills, he is a little ashamed!

  Therefore, Fan Zhiping threw a lot of praise at Lu Chen's body.

   However, now Lu Chen is extremely calm.

   He knew that he was only a student, and he had just entered the clinic, and there was still a long way to go in the future.

"Brother Fan, you also know that the current medical system requires not only learning to see a doctor, but also scientific research." Lu Chen said helplessly, "No matter how well you can see a doctor, you can't be promoted to a professional title. On the contrary, as long as you can write a paper , the road to professional title promotion will be much faster. On this road of scientific research, I am also a novice."

  Fan Zhiping nodded helplessly.

   He returned to the county-level primary hospital because he didn’t like doing scientific research.

  The promotion of grass-roots hospital positions is mostly based on seniority ranking, and the requirements for papers are not so high.

   Basically, there will be no such strange creatures as "The Ruler of Ten Thousand Years"!

   Actually, in Lu Chen's heart, he is more inclined to be a clinician.

  Otherwise, he would not have given up the master's degree in Kyoto at first, but he chose the second place and chose the master's degree in Jinghua.

   However, it is impossible to distinguish between clinical medicine and scientific research.

  In medicine, many important scientific research advances were discovered by clinicians.

   In other words, if you want to become a top doctor, it is not enough to treat and save people. You also need to study how to treat diseases in a better way and become an excellent scientific researcher!

  …

   The duty room of the superior doctor.

  Yin Xinhua was tired for most of the night, and finally lay down and rested.

   "This old comrade Fan is really hot!"

   Count what happened tonight.

   Not counting the trivial matters, three critically ill patients have already experienced changes in their condition.

   There was even a patient who died after being pushed into the CCU.

   "Next time I'll be on duty with Lu Chen, I must not let him bring old Comrade Fan, no one can stand it!"

  After washing up, Yin Xinhua lay on the bed and watched a short video for a while.

  Drowsiness strikes.

  Yin Xinhua just closed his eyes when he heard a hurried knock on the door.

   Her heart rate rose to 120 beats/min in an instant.

   "Doctor Yin, 52 beds are uncomfortable, you should get up and take a look!"

   The nurse's voice came from outside the door.

   "Okay, here we come!"

  Yin Xinhua got out of bed immediately, slipped on his gloves and put on a white lab coat, and walked outside the duty room.

   Generally speaking, nurses call students on duty first.

  The student will only call the higher-level doctor on duty when he can't handle the patient.

   In other words, this patient with chest tightness may be more difficult.

   At the same time, Yin Xinhua had already scolded Lao Fan again in his heart.

   is really fire!

  …

   Came to the 52-bed ward.

  Lu Chen and Fan Zhiping were already watching the patient by the bedside.

   "Senior sister, this patient just suffered from shortness of breath and chest tightness." Seeing Yin Xinhua coming, Lu Chen handed over the electrocardiogram he just had.

  Yin Xinhua took a look at the electrocardiogram.

   ECG: sinus tachycardia, low voltage in limb leads, low voltage in chest leads is not very obvious, although it does not reach limb lead voltage > 0.5mv, chest lead voltage > 1.0mv.

   "Junior Brother, what are the reasons for your chest tightness?" Yin Xinhua said.

Lu Chen paused, then said: "The patient is an elderly male. He has had chest tightness and dyspnea for nearly half a month. He was just admitted to the hospital today and has not had time for an examination. The physical examination just showed: no edema in both lower extremities, distant heart sounds and jugular vein distention. , blood pressure around 100/60mmhg."

   "Do you suspect pericardial effusion?" Yin Xinhua put down the electrocardiogram and looked at the patient on the hospital bed.

Lu Chen nodded: "Yes. The symptoms are typical, and this patient's electrocardiogram shows electrical alternation and electrical ladder phenomena. It is obvious that the voltage of the QRS complex in the chest leads changes with the respiratory cycle, which is a very typical ECG for pericardial effusion. "

  Yin Xinhua inspected the patient and also performed a physical examination.

  She basically agreed with Lu Chen's judgment.

   "Junior brother, considering a large amount of pericardial effusion, it may be an emergency puncture. You go to an emergency bedside echocardiography, and Dr. Fan prepares the tools for pericardiocentesis. I will communicate with the patient's family about the condition."

"it is good."

   The three of them immediately divided their work and cooperated, and immediately began to diagnose and treat patients.

The    ultrasound doctor came quickly with a cardiac ultrasound machine.

   After careful inspection by the sonographer, it turned out to be pericardial effusion.

   "There is a lot of pericardial effusion, I have already positioned it for you." The sonographer paused, "However, this pericardial effusion is encapsulated and has many divisions, so the requirements for puncture are relatively high."

   Hearing this, Yin Xinhua frowned.

   If it is ordinary pericardial effusion, she will do it herself.

   But the pericardial effusion is encapsulated...

   She hasn't been pierced yet, so she doesn't have a clue.

   "Only call the hospital chief." Yin Xinhua said.

   She glanced at Lu Chen beside her. .

   She remembered Lu Chen's blind puncture of the pericardium in the elevator.

   However, this encapsulated pericardial effusion is not the same, and has high requirements for the operator's proficiency.

   At present, only Li Qinghua, the chief inpatient of the Cardiology Department, has been called over to help.

   (end of this chapter)