I can see health

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

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

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

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

"I consider it to be angina pectoris caused by coronary heart disease."

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

"Professor Li, my blood vessels are fine and there is no narrow place. The doctors at the county hospital have said that my chest pain may have nothing to do with the heart."

Li Yao shook her head firmly when she heard this, "First of all, there is something wrong with your blood vessels. It is only because of the stent that the blood vessels are not narrowed. Secondly, is it normal that the blood vessels are normal, so it can't be the 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!"

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

The man was also relatively easy to talk to, nodded, and immediately took the checklist issued by Lu Chen, and left.

……

In the clinic room.

Lu Chen shrugged, "Teacher, why do I feel that patients are a little strange?"

"It's right to feel this way!" Li Yao smiled, "For people who can spend 300 yuan to register, except for those who are not short of money, most of the patients are those who cannot be handled by lower-level hospitals, which is more or less strange .When you stay in the clinic for a long time, you will know the way to do it.”

As soon as Li Yao finished speaking with 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 60s.

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

This patient looked like an old patient of Teacher Li Yao.

"Aunt Zhang, why are you feeling uncomfortable again?"

Aunt Zhang smiled and shook her head, "Nothing is wrong, I just came to see if the oral medicine I'm taking now needs to be adjusted?"

Under Lu Chen's gaze, Aunt Zhang took out an old medical record from her pouch.

"Hey, you don't need to dig out the medical records." Li Yao smiled, "I know your situation. The medicines you are taking now, there are two medicines that can be stopped, but you need to check your blood first."

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

So, under the authorization of Li Yao, Lu Chen began to issue some application forms for examination and testing to patients...

As the outpatient consultation progressed, Lu Chen discovered that Teacher Li Yao really had a lot of old patients!

Because there are only [-] people on the expert account every day, so many people register one day in advance, and they don't care about the [-] registration fee at all.

……

Just when Li Yao was seeing the fifth patient, the young man who was the first to see him returned to the outpatient room with an electrocardiogram.

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

When she looked down at the electrocardiogram, Li Yao was taken aback.

Electrocardiogram: The 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 this kind of ECG to appear on a young man!
"Here, is this your electrocardiogram?" Li Yao asked hesitantly.

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

Li Yao paused, and organized the language to say: "If this electrocardiogram appeared on a middle-aged and elderly person, it is likely to be a coronary heart disease! But now it appears on a young person..."

The expression of the young man in front of him remained unchanged, as if he was not surprised by this result.

"You already knew there was a problem with your ECG, right?" Li Yao also noticed the abnormality and asked aloud.

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

Hearing this, Lu Chen felt relieved.

No wonder he had to sign up for an expert account to do an electrocardiogram, and it was "premeditated"!

"Is there any discomfort after usual activities?" Li Yao continued, "For example, chest tightness, chest pain, etc."

Zhu Zhonghua shook his head, and then patted himself on the chest, "I'm usually fine, and I often take part in physical exercises! I don't smoke or drink alcohol on weekdays."

Li Yao thought for a while and said, "Then your electrocardiogram may be abnormal to others, but it may be normal to you! It doesn't matter, just go back and have a good rest, just don't stay up late."

After Li Yao finished speaking, Zhu Zhonghua was slightly silent.

He took a deep look at the electrocardiogram in his hand, and then slowly said: "Professor Li, to tell you the truth, I am preparing for a civil servant's physical examination this time, and I have already taken an electrocardiogram in advance, saying that there is such an abnormality. , if the official medical examination is still like this, I may be banned."

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, is there no way you can correct the T wave of my ECG? Let it stand up!"

Li Yao frowned tightly.

Electrocardiograms can vary.

But generally there is a sudden change in the condition, and the T wave changes from upright to inverted. This is a common "myocardial ischemia" change.

However, under normal circumstances, Zhu Zhonghua's electrocardiogram is upside down now!
If you want his ECG to be upright, is it possible to make him sick?
This is obviously impossible!
"It's impossible for your upright T wave to become an upright T wave." Li Yao shook her head.

"Really?" Zhu Zhonghua was a little desperate.

I have passed the civil service exam notes and interview!

Now it's down to the physical examination.

But he didn't have any physical diseases!
"No." Li Yao shook her head, "You just have to go to the hospital where you are trying to get a physical examination, 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 have to worry so much!"

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

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

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

He turned his head and whispered to Li Yao who was beside him: "Teacher, maybe I can correct the T wave in his ECG!"

(End of this chapter)