I can see health

Chapter 421 Doing Business and Treating Diseases
"Thyroid function?" Yao Weiwei was startled, and quickly flipped through the test sheet, "It seems that there is really no..."

"Yeah, so this patient definitely needs to have his thyroid function checked again." Lu Chen said, "If the heart rate is slowed down due to hypothyroidism, then there is no need to install a pacemaker."

Hyperthyroidism, the body's metabolic rate increases, can cause palpitations and rapid heartbeats.

On the contrary, hypothyroidism, the body's basal metabolic rate drops, will cause the heartbeat to slow down.

At this time, after the treatment of hypothyroidism, the patient's heart rate will naturally rise, and it is completely unnecessary to install a pacemaker!

Yao Jie, as a graduate student in the Department of Cardiology, must know this, hypothyroidism causes heart rate to slow down.

However, treating clinical patients is not like giving a few options like doing a question, but requires the use of clinical diagnostic thinking in order to find the patient's final disease.

"Junior Sister, what this patient needs to check is not only thyroid function." Lu Chen continued, "We also need to check the coronary arteries to find out whether the patient's slow heart rate is caused by coronary heart disease. If so, treatment for coronary heart disease is also needed. In addition, it is necessary to inquire about the patient's medication in detail, whether he has taken any drugs that lower the heart rate, such as our common beta-blockers."

"Yeah." Yao Jie had already picked up the small notebook, and followed behind Lu Chen, listening to him while taking notes.

This kind of scene seems to have returned to the time when I was an intern in Xinnei District [-] of Jinghua Second Hospital.

She was also like this, following Senior Brother Lu Chen, listening to him explaining various diseases.

Unknowingly, the two walked back to the doctor's office.

"So, for this patient, whether to undergo surgery or not is another matter." Lu Chen said, "Don't rush to talk about the surgery, follow the diagnosis and treatment guidelines, and complete the preoperative examination first."

"Okay, senior brother." Yao Jie smiled and nodded.

Wu Lang heard what the two said.

He turned around in surprise. If he heard correctly, Lu Chen said that he might not have an operation?
Wu Lang frowned. He had seen this patient before, and he had already told Yao Jie that he would have surgery tomorrow.

Isn't Lu Chen a slap in the face?

Although Lu Chen's surgical ability amazed everyone, as a graduate student of Kyoto University School of Medicine, Wu Lang also had his own little pride.

He hurriedly said, "Lu, Lu Chen, the 23-bed patient just now, Mr. Fang has already explained that he will have surgery tomorrow morning."

Lu Chen frowned, turned around, and saw a boy with a somewhat feminine appearance.

"Are you sure it was Teacher Fang who said that?" Lu Chen confirmed again, he didn't believe that Fang Ruzhang would do such a hasty thing.

"Fang, Teacher Fang said, we are going to have surgery..." Wu Lang's voice became softer, lacking in breath.

Lu Chen chuckled, "Then tell me, did Teacher Fang see this patient in person?"

"Brother, Teacher Fang is still in the catheterization room, so I haven't had time to see this patient." Yao Jie whispered from the side.

Lu Chen nodded. He had already guessed that Fang Ruzhang definitely hadn't seen this patient in person. He probably just said that he might need a pacemaker operation, and then the students below regarded it as an "imperial decree" and carried it out. .

"I will communicate with Teacher Fang Ruzhang personally about this patient." Lu Chen said.

"Ah? This..." Wu Lang froze on the spot, Lu Chen was equivalent to vetoing all the things he had done before.

……

At this moment, a middle-aged man with a big belly and a briefcase under his arm walked into the doctor's office.

"Who is the doctor in charge of bed 23?"

As soon as he entered the doctor's office, the middle-aged man shouted at the top of his voice.

Everyone in the doctor's office looked towards the door.

The middle-aged man didn't feel any embarrassment, but repeated: "Who is the doctor in charge of bed 23?"

Only then did Yao Jie stand up, "Hi, I'm the bed doctor."

"What did you do?" The middle-aged man frowned when he saw Yao Jie, why is he such a young doctor, "The first doctor who went there said he was going to have an operation, and it will be arranged tomorrow. But just now another doctor went by , Said that surgery may not necessarily be done?!"

The middle-aged man's voice was very loud, and he wished that everyone in the department could hear it.

Yao Jie bit her lip, not knowing what to say for a moment.

Wu Lang on the side shrank his head even more, remained silent at all, feeling a little dark in his heart, "Look, everyone is here to Xingshi to question the crime!"

"Hello, are you the patient's son?" Lu Chen stood up and asked.

The middle-aged man didn't want to pay attention to it at first, but when he saw Lu Chen's attitude and momentum, he was slightly taken aback, and then nodded, "You are?"

"I am the surgeon." Lu Chen said, "If your mother can perform the operation tomorrow, then I will do it."

Hearing this, the middle-aged man who was a bit arrogant immediately put a smile on his face, walked up to Lu Chen, took out a pack of cigarettes, and handed one to Lu Chen, "Hi doctor, may I ask you?" Your name?"

The difference between internal medicine and surgery, from here, can be seen in general.

Many patients are very polite to surgeons, but they don't have such a good temper towards physicians.

Lu Chen frowned slightly, and did not answer the middle-aged man's question, "Sorry, smoking is not allowed in the hospital."

The middle-aged man smiled awkwardly, then put the cigarette back.

"Doctor, that's it. When do you think my mother's surgery can be scheduled?!"

"Didn't I tell you that I can't do it for the time being." Lu Chen frowned, "I told your mother just now that the operation is pending!"

"Ah?" The middle-aged man was taken aback. How can a surgeon push the operation outside without thinking about it?
"We need to improve preoperative preparations..." Before Lu Chen could finish speaking, he was interrupted by a middle-aged man.

"We have all been checked in the hospital below. We came here because we thought you were skilled enough to perform the surgery!" The middle-aged man said hastily, "Why do you have to re-examine? Isn't this a waste of time?"

Lu Chen smiled and did not immediately refute, but pulled a chair over, "Uncle, sit down, we will talk to you slowly."

Seeing this, the middle-aged man sat down.

"First of all, I am a surgeon. You said that I would delay the operation and deliberately delay the time?" Lu Chen smiled.

The middle-aged man nodded slightly, "That's to say, it's the same as doing business. If you come to business, just do it."

"Uncle, don't make a mistake." Lu Chen said, "This is completely different from doing business. I beg you to do business. But we wish you would not come to the hospital."

The middle-aged man smiled, and there seemed to be some disbelief in his eyes.

Lu Chen didn't care what the middle-aged man thought, and continued: "Uncle, have you ever thought that your mother doesn't need a pacemaker?"

"But, we checked at the hospital below, and they said that a pacemaker needs to be installed!" The middle-aged man still insisted on his own point of view.

"I didn't say that the inspections you did before don't count." Lu Chen said, "It's that there are some necessary inspections that are lacking, and we need to improve them further. If there is no problem in the inspection, then we will go for surgery."

The middle-aged man paused, then hesitated: "Then, when can you have the surgery at the earliest?"

"If you cooperate, it will only take two days at most to start the preoperative preparation today." Lu Chen said.

"Okay, I'll listen to you." The middle-aged man finally let go.

Hearing this, Lu Chen also breathed a sigh of relief, and smiled at Yao Jie who was beside him.

(End of this chapter)