I can see health

Chapter 212 Why Isn't Lao Fan Going?
"You?" Lu Chen was stunned.

The wheeze suddenly disappeared!

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

Clinically, it is mainly due to the impact of the airflow passing through the relatively narrow, congested and edematous mucous membrane of the respiratory tract, which makes a whistle-like sound.

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

Lu Chen: "..."

Yin Xinhua: "..."

Can Fear Trigger Asthma Attacks?
Although Lu Chen knew before that mental factors could affect asthma, this was the first time he saw such a thing today.

The wheezing sound in the patient's lungs appeared and disappeared so strangely and quickly.

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

But the stethoscope is 3M, and it costs thousands of dollars, so it shouldn't be a problem with the stethoscope!

Comfort the patient.

Lu Chen observed the patient's bedside for another 5 minutes, and the patient's asthma was no longer ill.

……

Go back to the doctor's office.

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

Find the chapter on Respiratory Medicine.

"In addition to airway physiological and pathological damage, asthmatic patients are also accompanied by mental and psychological abnormalities."

"Psychological factors such as tension, anxiety, fear, irritation, depression, or overexcitement can induce or aggravate asthma."

It's always shallow on paper!
Lu Chen has read these words many times.

However, if it wasn't for his own experience and experience, it would be hard for Lu Chen to believe that there is such a person whose asthma is caused by fear.

Fan Zhiping and Yin Xinhua also found it novel.

Both of them are doctors in the Department of Cardiology, and there are not many patients who encounter this kind of asthma.

……

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

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

It is now nine o'clock in the evening.

If he didn't leave, he might really stay in the department to rest at night.

Lu Chen's expression was quite helpless, "Senior Sister Yin, I told Brother Fan, but he won't leave, and I can't help it... I can't drive him away."

"Not leaving?" Yin Xinhua's face darkened.

This doctor Fan is too serious!
The other trainee doctors wished they could go back to rest sooner.

Fortunately, he took the initiative to stay on duty!

In fact, Fan Zhiping's thoughts are extremely simple.

In the few hours of the night shift, two interesting cases have already been encountered.

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

He came to Jinghua Second Hospital just to broaden his horizons.

If you don't seize this kind of opportunity, you will be no different from a salted fish.

……

Go back to the doctor's office.

Fan Zhiping found that Yin Xinhua looked at him strangely.

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

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

Before Yin Xinhua finished speaking, he was interrupted by Fan Zhiping.

"It's okay, don't worry about me, I won't go back tonight, I see that there is a bunk bed in the duty room, Lu Chen sleeps on the lower berth, and I will sleep on the upper berth later."

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

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

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

……

09:30 in the evening.

Lu Chen has completed all the records of the course of the disease.

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, but only at night.

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

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

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

……

"Beep beep..."

When the mobile phone's WeChat notification sounded, Lu Chen thought it was a message from some WeChat group.

Picking it up, I didn't expect it to be a message from Senior Brother Dong Hao.

Lu Chen remembered that he seemed to be on endocrine rotation.

It's so late, what's Dong Hao doing with him?
Open WeChat in doubt.

Brother Dong Hao sent him an electrocardiogram.

"Junior brother, please help me take a look at this electrocardiogram."

It turned out to be a trial plan. Could it be that Senior Brother Dong Hao is also on the night shift tonight?

Lu Chen clicked on the big picture of the electrocardiogram and began to read it carefully.

Electrocardiogram showed narrow QRS tachycardia with a heart rate of about 180 beats/min.

P waves were not seen in all leads, and retrograde p waves were occasionally seen.

"Brother, this should be...a typical paroxysmal supraventricular tachycardia." Lu Chen immediately replied a message, and then added, "This patient can use physical stimulation first, if not, then use some more." Kodalong."

"Okay, thank you, Junior Brother."

Dong Hao's message came back, but Lu Chen was taken aback by what he said next.

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

Ah, this is Brother Dong Hao's electrocardiogram?

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

He looked at the time of this electrocardiogram again, it was taken at [-]:[-] in the evening, not long ago.

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

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

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

Since Lu Chen said it was paroxysmal supraventricular tachycardia, it is most likely to be it.

"Brother, can you find some time to come to the Department of Cardiology for ablation surgery?" Lu Chen said.

Paroxysmal supraventricular tachycardia is a kind of arrhythmia, which is one of the few diseases in the Department of Cardiology that can be cured.

Ablation surgery is to extend electrodes into the heart and ablate the de-energized pathway, so that this arrhythmia will not recur in the future.

After a while, Dong Hao replied.

"Forget it, I haven't committed many crimes. It's not convenient to be hospitalized now. Let's talk about it later."

The prognosis of paroxysmal supraventricular tachycardia is relatively good.

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

"Brother, then you should take some Betaloc first, pay attention to rest, and don't stay up late." Seeing Dong Hao's refusal, Lu Chen could only say, "Next time if you get sick again, you must come to the cardiology department for hospitalization."

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

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

Although the prognosis of paroxysmal supraventricular tachycardia is better, 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, then closed WeChat.

"Congratulations, I received a thank you value from Dong Hao +1!"

……

Just as Lu Chen put down his phone, the voice of the nurse on duty came again.

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

(End of this chapter)