I can see health

Chapter 677 Human Stereotype
The second hospital of Shanghai, the outpatient building.

Lu Chen has now slowly taken over Zhang Shuqing's outpatient position.

He has one day a week when he is out of the clinic.

Zhang Shuqing spends more time on scientific research.

Today, it was Lu Chen's turn to go to the clinic again.

In the morning, he bought soy milk and fried dough sticks in the cafeteria, and then came to the consultation room.

The graduate students in the group had come to the consultation room ahead of time and helped Lu Chen turn on the computer.

It feels good to have students help!
Lu Chen remembered that a year ago, he followed Li Yao out of the clinic.

And now, he can go out to the clinic alone.

"Mr. Lu, what time is it, should I call the first patient in?" the accompanying graduate student asked.

Their task, besides helping the teacher to prescribe medical orders and write medical records, is also to maintain order at the scene.

"Okay, let's call." Lu Chen smiled.

……

As Lu Chen's reputation became more and more famous, there were also many patients in the surrounding counties and cities who came to see the doctor.

In the past, Lu Chen saw up to thirty patients a day.

But now, there are about 60 patients who register with Lu Chenhao every day!
Twice as much as before.

Lu Chen couldn't help but speed up the speed at which he saw the patient.

Otherwise, it is impossible to see all the patients that day.

"Auntie, you have obvious symptoms of chest tightness and chest pain after exercising, and you have high risk factors for coronary heart disease and a history of genetic disease. I suggest that you can directly do angiography."

"Master, after you have the valve replaced, you need to take warfarin orally for a long time, and monitor your INR regularly. Don't forget it!"

"Uncle, you don't need to take medicine for your blood pressure level. You can exercise and control your diet for three months. If your blood pressure is still high, you need to take medicine!"

"..."

Most of the outpatients have minor ailments.

If he really encountered a bad disease, then Lu Chen would not have such a cheerful tone.

He must have frowned and thought for a while before speaking.

Just like the patient in front of me.

In Lu Chen's eyes, the old man's HP is only 49 (--)!
Looking at his inspection report in the outer courtyard, Lu Chen frowned deeply.

The patient's echocardiogram showed that the aortic valve was severely stenotic, with a valve orifice area of ​​0.5 cm5.5, a flow velocity of 120 m/s, and a peak pressure difference of [-] mmHg.

CT showed severe calcified stenosis of the aortic valve, with a calcification score of 2208, and a small amount of pleural effusion and pericardial effusion.

"Master, what's wrong with you now?" Lu Chen asked.

"As soon as I move a little bit, I feel chest tightness and fatigue, and sometimes my eyes turn black."

The old man explained his symptoms clearly.

Lu Chen nodded slightly, "Your main problem lies in the severe stenosis of the aortic valve!"

Aortic valve stenosis is very harmful and can cause cardiac arrhythmias (atrial fibrillation, ventricular premature, ventricular tachycardia, etc.).

Some aortic valve stenosis can also cause embolism in the systemic circulation, and the shedding of the embolus may cause stroke.Severe aortic valve stenosis can cause syncope and even sudden death.

The uncle has already appeared amaurosis and syncope. Pleural effusion and pericardial effusion are signs of heart failure decompensation, and sudden death may occur at any time.

"Doctor Lu, I came to see you this time because I actually want to do TAVR surgery!" Meng Xiangsheng looked at the doctor who was too young in front of him. After hesitating for a moment, he still explained his purpose.

When he first arrived at the Second Hospital of Shanghai, he was full of expectations for "Lu Chen".

But when I saw myself, my heart felt as if a scoop of cold water had been poured on it.

Too young!
If it wasn't for the photo at the entrance of the consulting room, Meng Xiangsheng might have thought that Lu Chen was just a student.

Why does Dr. Fan Zhiping recommend this kind of doctor?
Lu Chen didn't notice anything unusual about Meng Xiangsheng.

At this time, he was concentrating on examining the patient.

"You know about TAVR surgery?" Lu Chen was slightly surprised.

Generally, people who are not in the cardiovascular field, few people know about this new technique.

"I'm not from Shanghai, I'm from Jinghua." Meng Xiangsheng said softly, "The doctor at the local hospital recommended me to come and see you."

"Jinghua? Came to look for me?" Lu Chen was taken aback.

He flipped through the medical records in the patient's hands.

Taking a closer look, it turned out to be Fan Zhiping from Fengm County? !

Old acquaintance!

Looking at Lu Chen's expression, Meng Xiangsheng asked suspiciously, "Doctor Lu, do you know Dr. Fan?"

Lu Chen nodded, "I'm also from Jinghua, and I used to work with Fan Zhiping."

Hearing this, Meng Xiangsheng suddenly realized.

No wonder Fan Zhiping recommended Lu Chen to him, it turned out that the two knew each other!

At this moment, Meng Xiangsheng didn't quite trust Lu Chen anymore.

"Since it's a patient from Jinghua, I'll tell you straight away." Lu Chen said, "A state like your father's requires TAVR surgery within a limited time, otherwise the condition will get worse and worse if it continues!"

"But the operation also has certain risks. If you agree to the operation, there is just a bed in our department, and you can go through the admission procedures immediately!"

If someone told Meng Xiangsheng before meeting Lu Chen that he could be directly hospitalized when he came to the Second Hospital of Shanghai, then he would definitely be very excited.

But after seeing Lu Chen, his heart was a little shaken.

Could it be Jinghua's Fan Zhiping, who has a PY deal with Lu Chen?
Otherwise, with so many top hospitals and top doctors in Shanghai, there is no need for Fan Zhiping to ask him to find such a young doctor!
"Doctor Lu, let me think about it."

Meng Xiangsheng's words made Lu Chen stunned.

Still need to consider?

Only then did Lu Chen notice Meng Xiangsheng's hesitant gaze.

It seems that most of them are another patient who doesn't trust himself very much.

Lu Chen wasn't too angry either.

He has encountered this situation too many times!
People always have stereotypes about one thing.

However, Lu Chen didn't explain too much.

The foundation of a good doctor-patient relationship is trust.

If the patients and family members in front of them don't trust themselves, there is no need to force them to stay.

Stay strong, if something goes wrong with the operation, it may be even more troublesome!
"That's fine." Lu Chen said to the graduate student beside him, "Call the next patient in!"

……

Meng Xiangsheng walked out of Lu Chen's consultation room with his father.

"Xiangsheng, in fact, I think Dr. Lu is very good." Meng Xiangsheng's father said, "He was very serious and careful when he examined me. And the questions he asked me were all targeted."

"Dad, but he...is too young." Meng Xiangsheng frowned, "I think he is in his early 20s, and he probably doesn't have much surgical experience, so I don't feel at ease asking him to perform surgery on you. "

"Hey, you're usually quite smart, why can't you figure it out at this time?" Meng Xiangsheng's father shook his head slightly, "Look at the doctors outpatients, who is as young as Dr. Lu?"

"No." Meng Xiangsheng shook his head.

"That's right. At his age, he can go out to a top hospital like the Shanghai No. [-] Hospital. Do you think it's easy for Lu Chen?"

Meng Xiangsheng was taken aback for a moment, thinking that what his father said made sense.

However, preconceived ideas are deeply rooted in his mind.

Meng Xiangsheng decided to go to a few more hospitals and see a few more doctors. After comparison, he finally chose the best surgeon.

(End of this chapter)