I can see health

Chapter 631 Uncomfortable Electric Shock (Part [-])
Because Lu Chen had just arrived in Shanghai, Zhang Shuqing didn't let him enter the department immediately.

Instead, he gave Lu Chen a few days off, and after he got familiar with the hospital environment, he will officially enter the hospital next Monday.

Taking advantage of this time, under the leadership of Ke Yue and Dong Hao, Lu Chen quickly visited the entire First Affiliated Hospital of Shanghai University, and got acquainted with the locations of various clinical departments.

……

Monday is coming soon.

Lu Chen put on a new badge and came to the doctor's office in the second heart area.

From a master's degree to a Ph.D., Lu Chen is not only a change of identity, but also a change of responsibility.

When Lu Chen rotated in Jinghua Second Hospital, he was only a master's degree, equivalent to a resident doctor, but he was still a student in essence, and had no right to independently issue medical orders at all.

But now, Dr. Lu Chen is studying, rotating in the department, and has been used as the attending doctor. (After two years of master's degree, you can be admitted as an attending doctor)
The attending doctor can manage the bed independently and issue medical orders independently.

Lu Chen's power has officially been upgraded!
in the doctor's office.

Zhang Shuqing introduced the current members of the group to Lu Chen.

Senior doctor Zhang Shuqing, attending doctor Yu Bin, several graduate students and Gui Peisheng.

The arrival of Lu Chen added an attending doctor to the team.

"Lu Chen, you and Yu Bin will separate the beds in our group." Zhang Shuqing looked at Lu Chen, and then said to Yu Bin, "Later, you and Lu Chen will subdivide the beds and give Lu Chen some students."

"Okay." Yu Bin nodded slightly.

Lu Chen's arrival also liberated his labor force.

He can concentrate more on preparing for next year's doctoral examination.

After Zhang Shuqing gave the order, Yu Bin said to Lu Chen, "Doctor Lu, which beds do you want?"

With that said, Yu Bin took out the bed arrangement form in the group.

Lu Chen smiled, "Listen to Senior Brother Yu's orders."

Yu Bin graduated with a master's degree and has worked for four or five years. It's not wrong to call him a senior.

"That's good." Yu Bin said, "Then we'll divide it evenly. You take care of the ten beds in the front, and I take care of the ten beds in the back."

"no problem."

Lu Chen has no opinion on managing patients.

"In addition, there are currently six students in the group, and we each have three."

There are three students in Lu Chen's group, one boy and two girls.

One of the girls is a master's student at Shanghai University, and she is rotating in the Department of Cardiology, and the other two are interns at the School of Medicine at Shanghai University.

……

After Zhang Shuqing gave his orders, he left. He was going out of the clinic this morning.

Lu Chen and Yu Bin started today's ward rounds respectively.

It was the first time to participate in ward rounds as a senior doctor, and Lu Chen's mood was very different from before.

He felt that the burden on himself was heavy!
"Let's go, let's go round the room together."

Lu Chen walked in the front, followed closely by three students.

He was about to enter the ward when Ji Yingying, a female graduate student in the group, suddenly said, "Brother, the 10-bed family members in our group are very difficult to talk to, so be careful."

"Huh?" Lu Chen frowned, "The family members have a bad temper?"

Ji Yingying nodded, "Last week, every time we made rounds, the patient's family had to quarrel with Teacher Yu."

"Okay, thank you junior sister, I understand."

Seeing too many clinically difficult patients, Lu Chen was not nervous, and took three students into the ward.

……

in the ward.

On bed 10, lay a female patient about 50 years old.

A middle-aged man was sitting by the bed, playing a short video with a foreign voice.

Seeing Lu Chen and others coming in, he didn't say a word, didn't turn off his phone, and continued to watch his videos.

Lu Chen remained calm and walked to the other side of the patient's bed.

Before the rounds, he had a simple understanding of the patient's condition.

The patient was a 49-year-old female with a history of hypertension and duodenal ulcer.

He was admitted to the hospital because of "intermittent heart palpitations for 4 years, and then aggravated for 1 day".

"Auntie, are you feeling better today?" Lu Chen asked as usual.

Before the patient could speak out, the family members of the patient on the side became impatient, "Why do you ask every day?! Come up with a solution, and the doctor in charge is changed today?"

"Uncle, don't worry." Lu Chen comforted him patiently, "I'm a doctor in Director Zhang's team. If you have any questions, you can tell me."

The man calmed down a little, frowned and said, "Okay, let me tell you, my wife has been in the hospital for three or four days, and your hospital hasn't come up with a good solution yet!"

Just as Lu Chen was about to reply, Ji Yingying on the side took over the conversation and said in a low voice: "Brother, this patient was diagnosed with VT (ventricular tachycardia) before, and I was suggested to treat the patient with ICD, but the patient refused."

"After that, the patient went to the doctor repeatedly because of palpitations, and each time he was cardioverted."

Lu Chen nodded slightly, "Thank you, I see."

At this time, the man shouted loudly: "Don't tell me to do surgery, we said we won't do it! My wife is so young, if this thing is installed, life will be so inconvenient in the future!"

The man kept glaring at Ji Yingying.

It is estimated that it is the resentment of so many days, and I want to vent it in one breath.

The little girl shrank her head and took a step back in fear.

Seeing this, Lu Chen hurriedly took a step forward, walking between the family members and Ji Yingying.

"Uncle, I can understand your anxiety." Lu Chen comforted, "Calm down now, we can discuss it together, all for the sake of the patient's own illness."

The man glared at Ji Yingying, then looked at Lu Chen without saying a word.

……

Lu Chen turned around and began to examine the patient.

Although the diagnosis of "ventricular tachycardia" was clearly recorded in the medical records, Lu Chen did not believe it.

Watching Lu Chen seriously examine his wife, the man stopped having seizures, but turned off his phone and stood quietly aside.

After the physical examination was over, Lu Chen asked, "Auntie, what's wrong with you every time you have a seizure?"

"It's flustered, always feeling like the heart is about to jump out." The patient said.

Lu Chen frowned and said, "Are there any other discomforts? Such as dizziness, syncope and so on."

The patient thought about it carefully, then shook his head, "No."

Lu Chen didn't speak, took the medical records from Ji Yingying's hand, and started to read them.

A total of two electrocardiograms came into view.

The first ECG, taken at the onset of the patient's symptoms, showed wide QRS tachycardia.

The second ECG, after cardioversion, showed sinus rhythm.

At first glance, it is really VT (ventricular tachycardia)!

"Doctor, I'm really afraid of being electrocuted now!"

At this time, the patient said again.

"Every time I get an electric shock, that feeling is too scary." The patient's face showed unspeakable horror.

Lu Chen knew that it was extremely painful to be cardioverted while awake.

And this patient, not once or twice, but has experienced this kind of "electric shock" many times during the four years.

"Now I'm afraid of the onset of this disease, and I don't dare to do too much physical work."

(End of this chapter)