I can see health

Chapter 468 Refused to check! (third update)
"Intuition?" Sun Guoguo shook her head helplessly.

This kind of thing is metaphysics.

You can't believe it, but you can't completely veto it either.

"Junior brother, intuition is sometimes very prepared, but we clinicians can't rely on it!" Sun Guoguo said earnestly.

"Don't worry, Senior Sister, I have a measure." Lu Chen nodded slightly.

This time, if it wasn't for the reminder of his life value, he probably wouldn't have thought about it this way.

At this moment, Fan Yujing also came out of the office.

Sun Guoguo had sharp eyes and saw her right away.

She hurried forward and said, "Teacher Fan, I have already seen the patient you asked for consultation."

"How is it?" Fan Yujing said lightly, "Is the possibility of aortic dissection high?"

Sun Guoguo paused, and said slowly: "From the existing examinations and clinical evidence, the possibility of dissection is unlikely, but it cannot be completely ruled out. If necessary, a CTA of the aorta can be done to rule it out."

In Sun Guoguo's words, many possibilities remain.

Fan Yujing frowned. She didn't like this kind of "Tai Chi" opinion, so she continued: "Then do you think it is necessary to do this aortic CTA? What Lu Chen means is that it is best to perfect the aortic CTA." .”

Clinically, it is not to suspect a certain disease, but to do the corresponding examination.

Otherwise, every patient who comes to the hospital will have to go through all the body checks.

Sun Guoguo didn't answer right away, but thought for a moment, then said, "I think it's still necessary to make one."

As soon as Sun Guoguo's words came out, not only Fan Yujing was stunned, but even Lu Chen lost his mind for a moment.

He didn't expect that the senior sister actually believed in his own intuition so much.

Fan Yujing also said in a deep voice: "That's fine, Dr. Sun, please write down your consultation opinion."

"Okay, I'll go back to the medical record later." Sun Guoguo glanced at Lu Chen, "Junior brother, then I'll go back first."

Afterwards, Sun Guoguo greeted Fan Yujing and left.

……

Fan Yujing frowned, she didn't expect Sun Guoguo to care so much about Lu Chen's opinion.

It seems that Lu Chen's influence in the Department of Cardiology far exceeds her imagination.

At this time, Sun Guoguo, who left the respiratory department, was also surprised.

Fan Yujing is notoriously difficult to get along with, but judging from her attitude towards Lu Chen, she doesn't seem to be as cold as the rumors say!
……

Go back to the respiratory doctor's office.

At this time, Mei Yejun was guarding the door, and when he saw Lu Chen and Fan Yujing coming back, he immediately went up to meet them.

"Teacher Fan, Brother Lu, this is one of my uncles."

Beside Mei Yejun, stood a middle-aged uncle who was about 40 years old.

"He is also a doctor and wants to know about my dad's situation."

"Lu Chen, you can communicate with him." After saying that, Fan Yujing walked back to the office.

The middle-aged uncle frowned and asked the students to communicate with him about his condition. This attitude...

"Hi." Lu Chen said, "What do you want to know?"

The middle-aged uncle held his temper and said in a deep voice, "I'm Mei Youjun, a doctor in the Cardiology Department of the Central Hospital."

"Department of Cardiology, Central Hospital?" Lu Chen thought, "This seems to be the hospital in Bogo."

However, Mr. Mei Ye has relatives in the central hospital, why did he go to Jinghua Second Hospital to be hospitalized?
Mei Youjun continued: "I want to know, how did you diagnose my brother with aortic dissection? Do you know what kind of disease it is?"

Lu Chen frowned, the visitor was not kind!

However, he knew that his diagnosis this time was not particularly tenable.

Lu Chen said patiently: "Dr. Mei, as we said before, aortic dissection cannot be completely ruled out, so it is recommended to complete the aortic CTA."

Mei Youjun chuckled and said, "Pulmonary embolism also causes chest pain and coughing up blood. Why don't you suggest a pulmonary artery CTA?"

Lu Chen said seriously: "Because the patient's D-dimer is negative, pulmonary embolism can basically be ruled out."

Mei Youjun frowned.

"Not bad, you know that."

At this time, Mr. Mei Ye pulled the sleeves of Lamei Youjun, "Uncle, Senior Brother Lu said before that he just suggested a checkup, and didn't say that he was [-]% sure."

Mei Youjun turned around and said: "Xiao Jun, you haven't been to the clinic yet, and you still have little experience. It is unlikely that your father has aortic dissection. I don't think it is necessary to do aortic CTA now. Let the blood pressure be lowered first. After the blood pressure is stabilized , do a bronchoscopy first."

Mei Yejun frowned, but did not speak.

Outside the office, the atmosphere was eerily quiet.

Lu Chen took the lead to break the silence, "Junior Sister, it's up to you to choose whether or not to do an aortic CTA. As your father's bed doctor, I'm just stating my own suggestion. If you refuse to do an aortic CTA, just sign it." .”

After speaking, Lu Chen walked into the doctor's office without looking back.

outside the office.

Mei Youjun looked at Lu Chen's back as he went away, but his brows were deeply furrowed, and he turned to Jun Mei Ye and said, "Mr., don't do the checkup first, lower your blood pressure, and then go for a bronchoscopy."

Before Mei Yejun contacted his mother who was away from home, his mother told him to obey his uncle's arrangement.

Seeing her uncle's unquestionable eyes, she could only nod in agreement.

……

Go back to the doctor's office.

Lu Chen could only sigh helplessly.

After Mei Yejun refused to go out for aortic CTA, Lu Chen asked her to sign the informed consent form.

This diagnosis is not understood, but it is normal.

"Junior Brother, go and measure the patient's blood pressure." Lu Chen turned to Wang Defa.

Wang Defa immediately picked up the automatic blood pressure monitor and went to the ward.

Within 2 minutes, Wang Defa walked back quickly.

"Brother, the blood pressure on the right side of the patient is 175/98mmHg, and the blood pressure on the left side is 170/90mmHg."

"The blood pressure hasn't dropped yet!" Lu Chen looked at the doctor's order on the computer.

At present, three antihypertensive drugs have been used, but the decrease in blood pressure is still not obvious.

"Let's observe again." Lu Chen thought.

……

The morning time passed quickly.

But Mei Yejun's father's blood pressure still did not drop to 160/80mmHg.

This made Mei Youjun a little anxious.

He went directly to the doctor's office, found Lu Chen, and said, "Why don't you just use the intravenous pump directly. The antihypertensive drugs you are using now are not very effective!"

Lu Chen frowned, "Have you been using intravenous antihypertensive medicine?"

The antihypertensive effect of the venous pump is very fast, but the duration is very short. After the antihypertensive drugs are withdrawn, the blood pressure will rise again!
Oral antihypertensive drugs, though slow onset, but long duration of antihypertensive.

"Aren't we going to get a bronchoscopy soon?" Mei Youjun snorted coldly, "Don't you know how to do it?"

Lu Chen shook his head, "If aortic dissection is diagnosed, then there is an indication to use a venous pump. But not yet."

Even though Lu Chen used the venous pump to lower his blood pressure now, after the drug was withdrawn, his blood pressure would rise again without incident.

At this moment, Mei Yejun suddenly hurried into the office.

"Brother, my dad's chest hurts again!"

　Make up for yesterday's, there are two more chapters
　　
　
(End of this chapter)