I can see health

Chapter 702 Lu Chen Was Sued! (fourth more)
The overall benefit of being in the hospital is that most of the time, you manage it yourself.

No patient management, no ward rounds.

After talking on the phone with Lu Zhifeng, Lu Chen began to look up documents in the lounge.

Although the thesis has come to an end, Lu Chen's habit is to study the latest hot literature every day.

With the help of the "Literature Reading" skill card, Lu Chen can absorb all kinds of clinical and scientific research hotspot knowledge at the fastest speed.

The current medical exploration is developing rapidly.

More and more diseases are being discovered one after another.

There are also some pathogenic mechanisms that were not clear in the past, which have also been studied by scientific researchers.

As a clinician, if you are only satisfied with the existing knowledge, you will definitely fall behind.

……

However, Lu Chen had only read two articles before the hospital's dedicated phone rang.

Another emergency consultation!
During an emergency consultation in the Department of Gastroenterology, the doctor in the other department on the phone suspected that the patient had a myocardial infarction.

Lu Chen didn't delay at all, and immediately rushed to the Department of Gastroenterology.

It really doesn't stop!
By the way, the ringtone hasn't been changed yet. Lu Chen thought that the patient must change the ringtone after finishing the work!

Came to the second ward of gastroenterology.

Lu Chen quickly looked at the patients for consultation.

He is a middle-aged man who was admitted to the hospital last night because of stomach pain after drinking.

The emergency department suspected a gastrointestinal disease, so he was admitted to the Department of Gastroenterology.

The electrocardiogram at the time of admission was normal, but the abdominal pain intensified today, and the electrocardiogram was rechecked, and the lower wall lead of the electrocardiogram was ST-segment elevated!
Myocardial enzymes were checked again, and the results were all elevated!
"Acute inferior wall myocardial infarction!" Lu Chen immediately diagnosed, "I need to do PCI immediately!"

"Doctor, you said I had a heart attack?" The middle-aged man couldn't believe it. "I know about heart attack. My uncle had a heart attack. He had chest pain at that time! But I didn't have chest pain at all, I just had stomach pain. It hurts here! How could I have a heart attack!"

As he said that, the man pointed to his stomach with doubts on his face.

"Who said a heart attack must be abdominal pain? Abdominal pain must not be a heart attack?" Lu Chen asked rhetorically.

"But myocardial infarction is a kind of heart disease. How can it be possible that the heart doesn't hurt, but other places hurt!" The middle-aged man is still stubborn.

However, Lu Chen frowned and said, "Then let me tell you now, there are many places for myocardial infarction. Apart from chest pain, it can radiate to the left shoulder, left upper limb, inner left upper arm, fingers and ring fingers. Some even have a tight throat and tongue. Pain and toothache."

"I went to the dentist with a toothache, and finally found out that it was a heart attack!"

The middle-aged man shook his face and crossed his arms, "Stop talking about it, no matter how many things you say to scare me, I won't believe it anyway!"

Usually when encountering such patients, Lu Chen would not spoil them.

Lu Chen said with a blank expression: "Myocardial ischemia during myocardial infarction, excessive metabolites accumulate in the myocardium, stimulate the sensory afferent fibers of the cardiac autonomic nerves, lead to increased excitation of somatosensory neurons, and cause referred pain in different parts of the body."

"Gastrointestinal symptoms such as abdominal pain may be caused by necrotic myocardium stimulating the vagus nerve during inferior wall myocardial infarction, causing gastrointestinal symptoms."

The middle-aged man turned his head and ignored Lu Chen at all.

"Currently your symptoms, troponin, and electrocardiogram results are all highly suggestive of acute myocardial infarction. If you don't believe it, it doesn't mean it doesn't exist." Lu Chen said, "Myocardial infarction needs emergency surgery. Contact your family members and ask them to come here quickly."

"No, I have no family."

Lu Chen was not angry either, and said lightly, "I'm telling you so much because I'm a doctor and you are a patient. I have an obligation to explain the illness to you. As for whether you believe it or not, whether it's curable or not, what does it have to do with me?" relation?!"

After explaining a few words, Lu Chen left.

When encountering such a patient, it is really hard to argue!
The doctor in charge of the gastroenterology department was also very helpless to this patient, "Dr. Lu, this person is just like this. He is a middle school teacher. We talked about the condition once, but he didn't believe it at all, and he didn't even call his family over."

Lu Chen was quite helpless, "Since the patient doesn't believe it, let him sign it."

"Sign? He really doesn't even hold a pen!" The gastroenterologist also had a helpless expression.

"Then you still have to pay special attention. Although his general condition is not bad, he has an acute myocardial infarction after all, and the risk is very high." Lu Chen said, "Report to the medical department, or contact their school leaders to deal with it."

"Oh, that's the only way to go."

The gastroenterologist is also in bad luck when he encounters such a strange patient.

After Lu Chen finished writing his consultation opinion, he hadn't left the doctor's office of Gastroenterology yet.

A call from the medical department came right away.

When Lu Chen received the call, he was in a bad mood.

He was complained by the gastroenterology patient just now!
On the phone, Lu Chen naturally told what happened.

The medical department would not make things difficult for Lu Chen, so after saying a few words, he hung up the phone.

Each ward is monitored, and there are records of the course of disease as evidence.

It's not that whoever complains is justified!

However, even so, Lu Chen was still surprised by this kind of patient.

It can only be said that such paranoid patients often have a poor prognosis!

Go back to the CCU lounge.

Lu Chen immediately changed the ringtone of the dedicated mobile phone.

It's time to say goodbye to "mouse loves rice".

……

It was a coincidence when I was eating at noon.

Lu Chen met a doctor in the gastroenterology department in the cafeteria.

As soon as we met, he complained: "Doctor Lu, after you left, the patient with myocardial infarction made a big fuss in our ward, and finally I called the security guard over and let him sign and leave the hospital. "

Lu Chen just spread his hands, "There is no way, this kind of patient, we are really powerless."

"Raise your hands in agreement!" The gastroenterologist sighed slightly.

After finishing lunch, Lu Chen didn't go back to CCU, but went back to the dormitory to rest.

The dormitory is not far from the inpatient department, and if there is a situation, he can arrive at any time.

……

Just got back to the bedroom.

Lin Shumin rushed over.

"Lu Chen, I heard you were hospitalized in internal medicine?" Lin Shumin also looked at Lu Chen with surprise.

When he heard the news, he was shocked.

When did the Department of Cardiology let a doctoral student become the head of the hospital? !

"Oh, stop talking, I was fooled too." Lu Chen shook his head helplessly.

Lin Shumin smiled, "I want to be the chief resident, but the hospital won't let me! This is a good opportunity. I heard that the monthly salary is quite a lot!"

The monthly subsidy for a doctoral student is pitifully small, only a little over 1000 yuan, which is just enough for living expenses.

Lin Shumin's mentor is not very reliable, and his usual subsidy is pitifully small.

He does not mean that.

Lu Chen thought for a while, then raised his head and said to Lin Shumin: "Brother, you are in my scientific research team, and I will give you a corresponding subsidy every month. Although it is not much, you can also improve the food in normal times."

Lin Shumin waved his hands quickly when he heard the words, "Lu Chen, don't get me wrong, I didn't mean that. What's more, if you can publish the paper this time, the hospital will also have a generous reward!"

Speaking of papers, Lu Chen thought that the magazine's response should be in the past few days.

He turned on the computer, clicked on the email, and there was indeed an unread email.

　Any updates?

　　might have……

　　
　
(End of this chapter)