I can see health

Chapter 615 It's not that I can't do it, it's that the other party cheated
At this time, a woman about 40 years old hurried into the emergency ward with an anxious expression on her face.

"The patient is here."

Before the woman waited for the woman to say anything, Wang Xiaodong pointed at the drunk man's bed.

"Thank you doctor." The woman looked at what Wang Xiaodong was pointing at, her expression tightened, and she trotted over quickly.

Wang Xiaodong sighed helplessly.

In the emergency department, he really saw this kind of scene a lot.

Being able to live in such a cold weather, drunk on the street, must have encountered great difficulties in life.

The woman ran to the hospital bed, calling softly, but there was no response.

"Doctor, what happened to my husband?"

"He was sent to the hospital by the police..." Wang Xiaodong briefly described the patient's condition, "he is still in a coma."

The woman's face was covered with tears.

"It's all my fault. I shouldn't quarrel with him at night."

"He was working smoothly during the day, but was scolded by the leader. I shouldn't quarrel with him."

"Doctor, you must save him!"

As she spoke, the woman was about to kneel down to Wang Xiaodong.

Seeing this kind of thing too often, Wang Xiaodong quickly supported the woman with quick eyesight and quick hands.

"We will try our best, but the patient's condition is unstable now, so you still have to be mentally prepared."

"Thank you, thank you doctor." The woman wiped her tears and returned to the hospital bed.

……

Because of the special condition of the drunk man, Wang Xiaodong promptly reported it to the superior physician and Lu Jianjun, the director of the emergency department.

"Xiaodong, you are the patient's bed doctor, what do you think?" Lu Jianjun asked after learning about the patient's condition.

"The cause of the coma is yet to be investigated. It may be caused by hypothermia, but the most important thing now is the abnormality of his electrocardiogram. We haven't found any reason yet." Wang Xiaodong said.

"En." Director Lu Jianjun nodded slowly, and then looked at other people in the office, "Do you have any comments?"

"Could it be myocardial infarction? Cardiomyopathy? Or congenital heart disease?" An attending doctor in the emergency department asked.

Wang Xiaodong immediately replied: "Echocardiography is normal, without any abnormal changes, myocardial enzymes and BNP are normal."

"We also asked the family members of the patient, and the patient did not have any history of heart disease."

"Cardiomyopathy and congenital heart disease have been temporarily ruled out."

Wang Xiaodong ruled out several diagnoses one after another, and all the doctors fell into deep thought.

At this time, a voice suddenly sounded from the corner of the office.

"I think, should the patient have a cardiac MRI?"

The crowd looked at the sound.

The person who put forward this opinion was a doctor named Xu Yiwen who had just arrived in the emergency department.

He is currently studying for a Ph.D., and his advantage lies in scientific research.

Xu Yiwen continued: "Echocardiography is not the gold standard for diagnosing cardiomyopathy, but cardiac MRI is."

"Perhaps we recommend the patient's immediate cardiac MRI for further confirmation or exclusion."

Lu Jianjun nodded slowly when he heard the words, "However, the technology of cardiac magnetic resonance is relatively new, has it been carried out in our hospital?"

"Yes." Xu Yiwen smiled, "I recently had a project about cardiac magnetic resonance. I asked about the CT room of the hospital before, and their director has sent someone to a higher-level hospital for advanced studies. Currently, I can complete the diagnosis and treatment of cardiac magnetic resonance independently. process."

Director Lu Jianjun of the emergency department is very satisfied with this new doctor.

You know, it is not easy to recruit a doctor in a department like the emergency department.

Even for a provincial leading hospital like Jinghua Second Hospital.

If someone engages in scientific research, then there are topics.

If there are subjects, there will be funds.

"Okay, then follow your train of thought." Lu Jianjun nodded slightly.

"Okay." Xu Yiwen grinned, and suddenly saw Lu Chen beside Wang Xiaodong, "By the way, Junior Brother Lu Chen doesn't seem to have expressed his opinion yet."

The current Lu Chen, in Jinghua No. [-] Hospital, is very beautiful.

You may not know who the head of the department is, but you all know the name Lu Chen.

Even if Lu Chen is just a graduate student.

Wang Xiaodong and Lu Chen didn't have much grievances, they just wanted to know what Lu Chen thought about this patient.

Lu Jianjun also looked at Lu Chen curiously.

As a student, Lu Chen, he knew something about it two years ago.

Of course, there was an explosion in Jinghua, and Lu Chen was the first student to come to the emergency department for support.

Lu Jianjun was deeply impressed by various skilled clinical skills.

Seeing everyone looking at him, Lu Chen smiled slightly and said, "I think brother's idea is very good. It can further diagnose cardiomyopathy. The current gold standard for cardiomyopathy is also the Lake Louise standard for cardiac MRI. If the patient If conditions permit, this inspection can be improved.”

Cardiac magnetic resonance examination is good, but the cost is still quite expensive, several thousand yuan more.

Xu Yiwen was very pleased when he heard Lu Chen say that.

"but……"

What Lu Chen said next caught everyone's attention.

"This patient is also my first diagnosis. After the emergency rescue in the morning, all the vital signs of the patient have improved." Lu Chen said, "The patient will most likely wake up tomorrow."

"What treatments did you mainly use?" Xu Yiwen asked curiously.

"That's the main point I want to say." Lu Chen smiled, "We didn't give any special treatment except heating up and rehydrating."

In the office, everyone still couldn't believe it, and opened the patient's doctor's order one after another.

At first glance, it turned out that there was no other treatment except heating up and replenishing fluids.

"So, I was thinking just now that all the abnormal manifestations of the patient may only be related to hypothermia."

As soon as the words fell, the people below thought of whispering.

Xu Yiwen frowned and said, "Hypothermia can make the patient's ECG image look like a plastic surgery?"

Lu Chen picked up the patient's electrocardiogram from the table and explained: "The principle of the electrocardiogram is the electrical conduction of the heart. To put it simply, it is the current passing through the heart. Electrocardiographic changes in potassiumemia, such as QT prolongation and obvious U waves."

Lu Chen marked several locations on the electrocardiogram, exactly corresponding to the places he said.

"Looking at it this way, it seems to be true." Wang Xiaodong said in surprise.

However, Xu Yiwen frowned, "How can I prove my idea? What kind of inspection?"

Lu Chen smiled, "It's actually very simple."

very simple?
When everyone heard this, the corners of their mouths twitched.

They didn't have a clue yet, but Lu Chen actually said something very simple...

Just listen to Lu Chen continue: "Just wait for the patient's body temperature to rise completely, and recheck the ECG and other indicators."

"Comparing the results before and after, if the electrocardiogram returns to normal, it can be basically confirmed that the abnormality of the patient's electrocardiogram is related to hypothermia!"

When the answer was not revealed, everyone was at a loss.

But once the answer to the mystery was clarified, everyone let out an "oh", and then they suddenly realized.

In fact, this is also a classic laboratory diagnosis method in clinical practice.

For example, some patients whose pulmonary nodules are of unknown nature often receive experimental anti-tuberculosis treatment without checking for any pathogenic bacteria.

If the patient's symptoms are relieved, then it can be inferred that the patient is tuberculosis infection.

"Lu Chen makes sense!" Lu Jianjun showed a satisfied smile.

He really wanted to keep such an excellent student by his side.

But just thinking about it...

Xu Yiwen did not continue to ask questions at this time, and bowed her head in silence.

Obviously, compared to his cardiac MRI, Lu Chen's diagnosis and treatment methods may be simpler.

"Actually, Senior Brother Xu's idea is also very good." Lu Chen added with a smile, "Maybe because I am the patient's first doctor, I understand the patient's condition better. Otherwise, I would also support the patient's cardiac MRI examination .”

Hearing Lu Chen's words, Xu Yiwen felt better.

It's really not that I can't do it!
It's like the other party is on the hook...

(End of this chapter)