I Can See Health

   Chapter 250 Help me "correct" the electrocardiogram! (Ask for a wave of subscriptions and monthly passes)

  Because it is an expert number, Li Yao sees patients very slowly, and asks about the condition very carefully.

  Although there are medical records, Li Yao asked the relevant medical history again.

  The patient was then given a careful physical examination, including auscultation of the heart and lungs.

   "I think it's angina caused by coronary heart disease."

   However, the opinion given by Li Yao in the end could not convince the patient.

   "Professor Li, my blood vessels are fine and I don't have any stenosis. The doctors at the county hospital have said that my chest pain may not be related to the heart."

Li Yao heard the words, but shook her head firmly, "First of all, there is something wrong with your blood vessels. It is only because the stents are placed that the blood vessels are not narrowed. Secondly, if the blood vessels are normal, can't it be chest pain caused by coronary heart disease? "

   "This..." The man scratched his head, "I just heard what the county doctor said, and I don't quite understand it!"

   "Well, you go for an electrocardiogram and ultrasound first, and we'll deal with it after the results come out." Li Yao said.

  The man is also good at talking, he nodded, immediately took the checklist that Lu Chen gave him, and left.

  …

  In the outpatient room.

  Lu Chen shrugged, "Teacher, why do I feel that the patient is a little strange?"

"It's right to feel this way!" Li Yao smiled, "Those who can spend 300 yuan to register, except for those who are not bad, most of the patients are the ones that the lower-level hospitals can't handle, more or less. Strange. When you stay in the clinic for a long time, you will know the way."

   As soon as Li Yao finished talking to Lu Chen, the third patient walked into the outpatient room.

   This time the patient looked more normal than the previous two.

   She is a female patient in her sixties.

As soon as    walked in, he said to Li Yao very affectionately: "Professor Li, I finally waited for you to leave the clinic again."

   This patient looks like an old patient of Mr. Li Yao.

   "Aunt Zhang, why are you feeling uncomfortable?"

   Auntie Zhang smiled and shook her head, "It's nothing uncomfortable, I just came to see, do I need to adjust the oral medicines I'm taking now?"

  Under Lu Chen's eyes, Aunt Zhang took out an old medical record from her small bag.

   "Hey, you don't need to turn over your medical records." Li Yao smiled, "I know your situation. These medicines you are taking now, there are two medicines you can stop, but you need to review your blood first."

   "Okay, I'll listen to you." Aunt Zhang smiled.

  So, under the authorization of Li Yao, Lu Chen started to open some application forms for examinations and tests to patients...

  As the outpatient consultation progressed, Lu Chen discovered that Mr. Li Yao had too many old patients!

  Because there are only 30 people per day on the expert number, so many people register one day in advance, and they don’t care about the registration fee of 300 yuan.

  …

   Just when Li Yao received the fifth patient, the first young man took the electrocardiogram and returned to the outpatient room.

  Li Yao reached out and took the electrocardiogram, and was about to send a few words before letting the young man go back.

When    looked down at the electrocardiogram, Li Yao's expression was stunned.

   ECG: T waves in leads V1 to V6 are all inverted.

  Although the inversion of the T wave is not deep, it is obviously abnormal for such an electrocardiogram to appear in a young man!

   "This, is this your electrocardiogram?" Li Yao asked hesitantly.

   "Yes." Zhu Zhonghua nodded, "Is there any problem?"

  Li Yao paused, and said in the organization language: "If this electrocardiogram appears in middle-aged and elderly people, there is a high probability of coronary heart disease! But now it appears in a young person..."

   And the young man in front of him, his expression changed, he didn't seem to be surprised by this result.

   "You already knew there was something wrong with your electrocardiogram, right?" Li Yao also found the abnormality and asked aloud.

"Well, I did an electrocardiogram during the physical examination before." Zhu Zhonghua nodded, "The doctor who performed the physical examination told me that there might be some problems with my electrocardiogram. Later, I did a lot of examinations, including ultrasound and the like, all of which no problem."

   Hearing this, Lu Chen felt relieved.

   No wonder he must hang up an expert number to do an electrocardiogram, and then there is a "premeditated plan"!

   "Do you feel any discomfort after your usual activities?" Li Yao continued, "For example, chest tightness, chest pain, etc."

  Zhu Zhonghua shook his head, and then patted his chest, "I usually do well, I often participate in physical exercise! I don't smoke or drink on weekdays."

  Li Yao thought about it and said, "Then your electrocardiogram is not normal for others, but it may be normal for you! It doesn't matter, go back and have a good rest, don't stay up all night."

   After Li Yao said these words, Zhu Zhonghua was slightly silent.

He took a deep look at the electrocardiogram in his hand before slowly saying: "Professor Li, to tell you the truth, this time I am preparing for the medical examination of civil servants, and I have already done an electrocardiogram in advance, saying that there is such an abnormality. , if the formal medical examination is still like this, I may be brushed off."

   The medical examination procedures for civil servants are relatively strict.

   What's more, the ECG is a very intuitive test result.

  Once these results are different from ordinary people, it is possible to say goodbye to the position of civil servant.

   "But your electrocardiogram..." Li Yao shook her head slightly, "For you, it's really no problem."

  Zhu Zhonghua gritted his teeth and whispered: "Professor Li, don't you have any way to correct the T wave of my ECG? Let it stand up!"

  Li Yao frowned.

   ECG can change.

   However, there is usually a sudden change in the condition, and the T wave changes from upright to inverted, which is a common "myocardial ischemia" change.

   However, now Zhu Zhonghua is under normal circumstances, his electrocardiogram is upside down!

   Wanting his electrocardiogram to stand upright, could it make him sick?

   This is obviously unlikely!

   "It's impossible for your upright T wave to become an upright T wave." Li Yao shook her head.

   "Really not?" Zhu Zhonghua was a little desperate.

   The notes and interviews for the civil service exam are all over!

   Now he actually fell at the check-up level.

   But he did not have any physical disease!

   "No." Li Yao shook her head, "You can only try to go to the hospital where the physical examination was conducted, and ask their cardiologist to issue a certificate to prove that you are not sick."

   "Hey." Zhu Zhonghua sighed, "If this method works, then I don't need to worry so much!"

  Lu Chen has been listening carefully to the conversation between Zhu Zhonghua and Li Yao.

   In addition to the condition described by Zhu Zhonghua, he also noticed another thing, that is, the character of the young man in front of him seems to be a little anxious and speaks very fast.

   Suddenly, an idea flashed in Lu Chen's mind.

   He turned his head and whispered to Li Yao beside him: "Teacher, I may be able to correct the T wave in his electrocardiogram!"

   (end of this chapter)