I can see health

Chapter 44 The Woman Who Is Not Feeling Well
"Student, are you a doctoral student this year?"

Lin Cui looked at Lu Chen suspiciously.

Everyone stared at Lu Chen intently.

Lu Chen smiled, and replied unhurriedly: "Director Lin, I am a master's student of Teacher Li Yao, and I just entered the department today."

Lin Cui frowned.

In recent years, most of Li Yao's students have been transfers, or have been admitted to the second medical school, and the quality of the students is relatively poor.

Unexpectedly, Li Yao actually has such a strong student this year, which is really surprising.

"You answered well just now." Lin Cui said lightly.

She is not cold about everything about Li Yao.

No matter how good her students are, Lin Cui can't afford to feel any favor in her heart.

Although Lin Cui was very indifferent, everyone in the doctor's office, whether they were students or undergraduate doctors, were shocked, and many of them were gradually becoming obscene.

Is this the level of knowledge that a first-year postgraduate student should have?

There are many students who are in the second and third years of research, as well as the second and third years of regular training, and even students majoring in cardiology.

They asked themselves, in the level of ECG interpretation, they are definitely not as good as Lu Chen.

……

Of the five electrocardiograms, the last one has not been interpreted.

However, after knowing that Lu Chen is Li Yao's student, Lin Cui's interest in explaining the electrocardiogram became less and less.

Lin Cui directly stated the diagnosis of the fifth electrocardiogram, and then hastily ended the explanation of the electrocardiogram.

……

The crowd watching the study also slowly dispersed.

"Lu Chen, what do you mean by those coronary 6+2 phenomena you mentioned just now?"

Ke Yue blinked, showing a confused look.

Lu Chen smiled and said, "What I'm talking about involves ECG vectors and knowledge of heart anatomy. You have to know that an ECG is not a single graphical change, but to clarify its essence, so that you can face the ever-changing ECG. Rather than just memorizing the ECG mechanically, it is easy to forget."

"Oh." Ke Yue unconsciously said, "Lu Chen, there is a chance to teach me to read the electrocardiogram."

"Okay, no problem." Lu Chen smiled, "We can discuss with each other when we have a chance in the future."

"Thank you." Ke Yue narrowed her eyes and smiled, sweeping away the haze just now.

"Congratulations, received the thank you from Ke Yue +1!"

As soon as Ke Yue finished speaking, Lu Chen received another reminder from the system.

ah?That's fine too!

Lu Chen was stunned. Doesn't this system need to save people from illnesses in order to receive gratitude?

At present, he only verbally agreed to Ke Yue and taught her to read the electrocardiogram, and he actually received a thank you value!
In the few months since the system was acquired, other people thanked Lu Chen for other things, but they did not get any gratitude for it.

How does the system determine the gratitude value?
Lu Chen is still confused, and can only wait until the system completion reaches 100% to see what changes will happen!
……

After checking the house, Sun Guoguo began to order the tasks in today's group.

"Today, 5 beds, 12 beds, 16 beds, and 20 beds were discharged from the hospital. The doctors in charge of the beds should sort out the medical records in time."

"Teacher Li Yao is taking patients in the outpatient clinic today, and the hospitalized patients take turns taking turns."

"Lu Chen, when you first came to the department, you followed Xiao Dong to learn how to admit new patients and how to give doctor's orders."

The daily task of a resident doctor is to admit patients, issue medical orders, write medical records, and sort out medical records for discharge.

And so on and on.

As for how much knowledge you can learn, you can only see whether the teaching teacher will tell the relevant clinical knowledge while admitting patients.

……

ten o'clock in the morning.

Lu Chen received an invitation to join a WeChat group.

It was an invitation sent by Zhou Wei.

"Jinghua No. [-] Hospital Study Guidance Group."

Without thinking too much, Lu Chen clicked to accept the invitation.

There are a total of 490 seven people in the study guidance group.

After Lu Chen joined, the entire group became 490 eight members.

"What kind of study group is this, why are there so many people?"

"It's not some indecent group chat, is it?"

After joining the group chat, Lu Chen saw messages like "ask for guidance" popping up in the group.

"Cardiology, please guide me!"

"Nephrology department, please guide me!"

"Respiratory Medicine, please guide me!"

……

The strange thing is that the chat messages in the group are only medium, and there is only such a message asking for guidance, and there is no other reply.

Although Lu Chen felt that this group was weird, he didn't care.

……

At eleven o'clock in the morning, Lu Chen admitted his first patient.

Pushing the electrocardiogram, he came to bed twelve.

The patient is a middle-aged woman in her 40s.

Dressed plainly, holding a straw hat in his hand, with a sickly blush on his face.

"Doctor, I feel uncomfortable."

The woman lay on the bed and pointed to the position of her heart.

"Auntie, do you feel your heart is beating fast or slow? Is it chest pain or tightness?"

"No, it's just that I feel uncomfortable in my heart."

Feeling uncomfortable is one of the most common "symptoms" in cardiology.

But what is the specific discomfort, whether it is chest pain or tightness, patients are often unable to describe it.

In addition to feeling uncomfortable, the woman did not have any other symptoms.

After taking the medical history, the physical examination began.

Blood pressure 110/80mmHg, normal.

Lu Chen took out his Yuyue brand stethoscope, placed it on the patient's heart, and began to auscultate.

There is a certain order of auscultation, starting from the auscultation area of ​​the mitral valve, followed by the auscultation area of ​​the pulmonary valve, the auscultation area of ​​the aortic valve, the second auscultation area of ​​the aortic valve, and the auscultation area of ​​the tricuspid valve.

The mitral valve auscultation area is the strongest point of the apex, also called the apex area, which is normally 5-0.5cm inside the fifth intercostal space at the level of the midclavicular line.

Auscultation examination completed.

No obvious noise was heard from the valves, but Lu Chen noticed something abnormal.

That is arrhythmia.

However, auscultation alone cannot determine the nature of the arrhythmia.

Lu Chen took an electrocardiogram.

Electrocardiogram showed: sinus bradycardia, atrial premature beats, ST-segment downslope depression, flat T wave and shortened QT interval, the measured value was 280ms.

There is something wrong with the electrocardiogram, and the problem is not small.

However, this ECG change is not specific.

Because the clinical diagnosis depends not only on the electrocardiogram, but also on symptoms, signs and auxiliary examinations.

"Doctor, when can I leave the hospital?"

This simple woman sat on the bed, holding her red cloth bag in her arms, her eyes full of anxiety.

"Auntie, you have just been admitted to the hospital. We don't know your specific condition yet. No one can say for sure about the treatment." Lu Chen frowned.

These patients, as soon as they enter the hospital, they think about the time when they will be discharged, thinking that the hospital is a place where the medicine will cure the disease as soon as they arrive?

"We must first find out the cause, then treat the symptoms, and finally observe the efficacy of the medicine."

"Then check it quickly." The woman said anxiously, "I still have a lot of things to do at home. I have two grandchildren to take care of. There is farm work waiting for me in the field. I can't do without me at home."

"Auntie, where is your family?" Lu Chen continued, "Did you come to the hospital by yourself?"

The woman nodded, "I came here by myself, and I had a quarrel with my family."

"Arguing?" Lu Chen frowned.

Quarrels seem to have nothing to do with clinical medicine, but they are often a very important piece of information.

Related to quarrels, there are internal and external injuries caused by quarrels, emotional drinking of drugs (rat poison, pesticides), etc.

"Did you get any trauma, or did you eat anything special?"

"No." The woman shook her head, "I just had an argument with my husband, there was no fight, and I didn't do anything else."

Lu Chen nodded, and truthfully recorded the patient's condition in the medical record.

(End of this chapter)