I can see health

Chapter 635 Listen to Dr. Lu!
For this result, Lu Chen was not surprised at all.

Supraventricular speed, cardioversion with amiodarone, has a great success rate.

However, this patient had good sensitivity to amiodarone, and within half an hour of taking the drug, supraventricular tachycardia had turned into sinus rhythm.

Yan Shuming looked at Lu Chen with some surprise.

She thought it was a mistake made by Lu Chen, but she didn't expect it was their mistake!

From diagnosis to treatment, everything was wrong!
This new young doctor seems to have two brushes.

Yan Shuming secretly glanced at Lu Chen, then lowered her head.

in the doctor's office.

Although everyone already knew about Lu Chen's "room speed" diagnosis, they were still shocked when they heard Yan Shuming's words.

"Brother, you are really good!" Ji Yingying smiled, "You need to teach me more about electrocardiograms, I am a novice in this field."

The other two students also agreed.

You can see the different treatment effects of different doctors.

This patient had always been on Yu Bin's bed.

They lived for almost a week, but no one ever doubted the diagnosis of "ventricular tachycardia"!
On Lu Chen's first day here, he was diagnosed right away!

Yu Bin stood aside with an embarrassed expression on his face.

This comparison... seems a bit too obvious!
"Go, go see the patient." Lu Chen stood up.

The three students and Yu Bin followed behind him.

……

in the ward.

The patient was lying on the hospital bed with an excited smile on his face.

"I'm ready?"

"Am I really well?"

"I'm really well!"

The patient looked at the ECG monitor beside the bed, and the heart rate has changed from 160 beats/min to 85 beats/min.

"Honey, your heart rate has really dropped!" The patient's family members were also very excited, "You don't need to be shocked!"

Seeing Lu Chen and his group walk in, the man immediately stepped forward and grabbed Lu Chen's hand, "Doctor, thank you, thank you so much!"

Lu Chen couldn't stand the patient's enthusiasm, so he hurriedly said, "Let me see the patient first."

"Yeah." The man nodded immediately, and turned sideways to let Lu Chen pass by.

Lu Chen walked forward and said to Ji Yingying, "Recheck the electrocardiogram."

"Ok."

Lu Chen came to the hospital bed and gave the patient a careful physical examination.

"Anything uncomfortable?"

"No." The patient smiled and shook his head, "There is no panic or chest tightness at all, and I am just like a normal person now!"

Seeing the smile on the patient's face, Lu Chen also heaved a sigh of relief.

"Use this medicine for a while, and you can withdraw it later." Lu Chen said to Yan Shuming who was beside him.

"Okay, I know."

Yan Shuming nodded, she would never question Lu Chen now.

But when the patients and their families heard this, they became anxious all of a sudden.

"Doctor Lu, look at this medicine...there's still so much left, why don't you finish it?" The man pointed to the "amiodarone infusion pump" and asked in a low voice, "And my wife is just a little bit, and the medicine has been used for a long time." Come on, let's strengthen it?"

Lu Chen shook his head, "No need, don't worry, we won't withdraw the medicine when it is still in use, and we will withdraw the medicine as soon as possible when we don't need to continue to use it!"

"This one……"

The man scratched his head and glanced at the patient on the hospital bed.

The patient smiled, "Just listen to the doctor and withdraw the medicine when it's time to withdraw."

"Okay." The man nodded and said to Lu Chen, "Please trouble Dr. Lu."

"We should do it." Lu Chen smiled, "Since the condition is stable now, I will also communicate with you about the next treatment plan."

"Ah?" The man was stunned, "Do you need any medicine?"

Lu Chen smiled and shook his head, "It's not medicine, but surgery."

"Surgery?" The patient and his family looked at each other.

Lu Chen could see the suspicion in their eyes.

Originally, Yu Bin asked them to undergo ICD surgery, but they refused, so they kept procrastinating.

Lu Chen continued: "In fact, the disease of supraventricular tachycardia is one of the few diseases in our cardiology department that can be completely cured."

There are many diseases in the Department of Cardiology, such as coronary heart disease, hypertension, heart failure, some arrhythmias and so on.

These diseases are almost all chronic diseases.

As long as you are sick, you can't go back. With the current medical technology, there is no cure. It can only improve the symptoms and prolong the survival period.

Supraventricular tachycardia, an arrhythmia, is a disease that can be cured by radiofrequency ablation, and the success rate is very high.

"However, what the doctor said earlier was different from what you said." The man was puzzled, "He said he wanted to install a BCD, and now you say that you need radiofrequency ablation..."

If it wasn't for Lu Chen's medication to reverse the patient's heart rhythm, the man might be making trouble again now.

But even so, his face was still a little unsightly.

Lu Chen didn't care, and patiently explained: "Because I suspected it was ventricular tachycardia before, I needed to install an ICD, but now it seems that the patient is not ventricular tachycardia, but supraventricular tachycardia..."

Lu Chen also explained in detail the differences in the pathogenesis and treatment strategies of VT and SVT.

The man was skeptical, but looked forward to the fact that he did not need to place an expensive ICD.

"Why did you make a wrong diagnosis before?" the man asked.

Lu Chen smiled, "These two types of arrhythmia are difficult to distinguish, and in many cases electrophysiological surgery is needed to distinguish them."

"When I first saw the patient's electrocardiogram, I thought it was ventricular tachycardia... If it wasn't for the patient's previous examinations and the help of the doctor, it would have been very difficult for me to diagnose supraventricular tachycardia. of."

When Yu Bin heard Lu Chen's words, he glanced at him gratefully.

In any case, this patient was his fault!
Now after Lu Chen's communication, the man did not continue to struggle with this issue.

"Doctor Lu, after the operation you mentioned, will my wife's illness stop?" The man suddenly asked again.

"There is a certain chance of recurrence." Lu Chen said, "There is no guarantee of complete success. In a very small number of patients, supraventricular tachycardia may recur after surgery and require a second operation."

"This..." The man couldn't help frowning.

The family members on the hospital bed were also hesitant.

Surgery is expensive, and there is no guarantee of a [-]% cure, and there is a possibility of recurrence.

But without this operation, SVT may occur frequently in the future.

"I'll tell you the pros and cons of surgery and conservative treatment. The choice is up to you," Lu Chen said.

The expressions of the patients and their families were extremely hesitant.

They have no medical background, and no one in their family studies medicine. The information they get from the Internet is mixed and not accurate.

At this time, the patient on the hospital bed suddenly said: "Doctor Lu, just give me a suggestion, conservative or surgery, whichever you say, I will choose whichever one!"

Lu Chen was slightly taken aback.

In fact, he is used to telling patients the pros and cons of all treatment methods, and then giving them the right to choose.

He paused, and said in a deep voice, "If you have the conditions and can afford the cost of the surgery, I still suggest an ablation surgery."

"If you don't do it, the next time you have a sudden onset of seizures, you will have to pay a lot of medical expenses every time you come to the hospital!"

The reason why patients and their families hesitate is mostly because of medical expenses.

But listening to what Lu Chen said, it seems to make sense.

Every time I get sick and come to the hospital, the medical expenses will accumulate a lot!
"Then listen to Dr. Lu!" The patient gritted his teeth, "I just did this ablation operation!"

(End of this chapter)