I can see health

Chapter 216 Lao Fan is Really Hot!

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

Facing the harshness and doubts of patients, doctors will become indifferent and sophisticated. They would rather admit their incompetence and give up the optimal treatment plan than take a little risk!
In this game, doctors may not be the winners, but patients are definitely the biggest losers.

……

Eight districts in the heart.

Eleven at night.

Most patients are already asleep.

The three of Lu Chen also felt sleepy.

"Okay, it's okay, 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 on bunk beds in the postgraduate duty room.

After washing up a bit, Lu Chen went to bed.

And Fan Zhiping finally got 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 an excellent cardiologist.

If you really recognize the graph of the electrocardiogram and don't understand the principle of the electrocardiogram, it is no different from memorizing it by rote.

"This..." Lu Chen's tone paused, he couldn't say that he was cheating.

He completely relied on the super comprehension ability provided by the system's skill book to progress so quickly.

But Fan Zhiping did not.

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

It would be right to throw this blame on teachers and parents.

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!

It is understandable that Lu Chen has been under the influence of his ears since he was a child, and has become to this point.

"Brother Fan, if you want information on electrophysiology, I have a lot here." Lu Chen said, "You can email me when the time comes, and I'll send you a copy."

"That's great." Fan Zhiping said with a smile.

Doctors in these grassroots hospitals have limited access to cutting-edge knowledge.

Many times, Fan Zhiping wanted to learn about the progress of a certain aspect of scientific research, but suffered from lack of information and access.

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

At first, what Fan Zhiping admired the most was Lu Chen's electrocardiogram level.

But now that he has seen Lu Chen's clinical operation skills, he is a little ashamed!
So, Fan Zhiping threw a lot of compliments at Lu Chen.

However, Lu Chen is extremely calm now.

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

"Brother Fan, you also know that in the current medical system, not only must you learn how to see a doctor, but more importantly, you must be able to do scientific research." Lu Chen said helplessly, "No matter how good you are at seeing a doctor, you can't be promoted to a professional title. On the contrary, as long as you can write papers , the road to professional title promotion will be much faster. On the road of scientific research, I am also a rookie."

Fan Zhiping nodded helplessly.

It was because he didn't like doing scientific research that he returned to the county-level primary hospital.

The promotion of positions in grassroots hospitals is mostly based on seniority, and the requirements for papers are not so high.

Basically, there will be no such strange creatures as "Ten Thousand Years Indication"!

In fact, in Lu Chen's mind, he is more inclined to be a clinician.

Otherwise, he would not have given up the master's degree in Kyoto, and chose the master's degree in Jinghua instead.

However, it is impossible to distinguish too clearly the clinical and scientific research of medicine.

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 research worker!
……

The duty room of the senior doctor.

Yin Xinhua was tired for most of the night, and finally he was able to lie down and rest.

"This old Comrade Fan is really hot!"

Take a look at what happened tonight.

Not counting those trivial things, there have been changes in the condition of three critically ill patients.

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

"The next time I'm on duty with Lu Chen, he must not be allowed to bring Comrade Lao Fan with him, no one can bear it!"

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

Drowsiness strikes.

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

Her heart rate instantly rose to 120 beats per minute.

"Doctor Yin, bed 52 says it's uncomfortable, get up and have a look!"

The nurse's voice came from outside the door.

"Okay, here we come!"

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

Generally speaking, the nurse is the first to call the student on duty.

Only after the students can't handle the patient will they call the superior doctor on duty.

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

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

Really fire!

……

Came to the 52-bed ward.

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

"Senior Sister, this patient just suddenly suffered from shortness of breath and chest tightness." Seeing Yin Xinhua approaching, Lu Chen handed over the electrocardiogram just taken.

Yin Xinhua took the electrocardiogram and looked at it.

Electrocardiogram: sinus tachycardia, low voltage in limb leads, low voltage in chest leads is not obvious, although the voltage in limb leads is not reached > 0.5mv, the voltage in chest leads is greater than 1.0mv.

"Junior brother, what do you think caused the chest tightness?" Yin Xinhua said.

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

"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 very typical, and the electrocardiogram of this patient shows electrical alternation and electrical ladder phenomenon, and the QRS wave group voltage in the chest leads obviously changes with the breathing cycle, which is a very typical electrocardiogram of pericardial effusion. "

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

She basically agreed with Lu Chen's judgment.

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

"it is good."

The three of them immediately worked together and began to diagnose and treat patients.

Doctors from the ultrasound department quickly arrived with a heart ultrasound machine.

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

"A large amount of pericardial effusion, I have already located it for you." The sonographer paused, "However, this pericardial effusion is encapsulated and has many partitions, so the requirements for puncture are relatively high."

Hearing this, Yin Xinhua frowned.

If it was a common pericardial effusion, she would have done it herself.

But encapsulated pericardial effusion...

She hasn't had a puncture yet, so she doesn't have a clue.

"The only option is to call the hospital manager," Yin Xinhua said.

She glanced at Lu Chen beside her. .

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

However, this encapsulated pericardial effusion is not the same, and there are high requirements for the proficiency of the operator.

At present, Li Qinghua, the chief inpatient of the Cardiology Department, can only be called to help.

(End of this chapter)