I can see health

Chapter 716 Barriers between disciplines (third)
Lu Chen has no doubts about the annual salary of one million.

The academic leaders of large private hospitals basically start with this annual salary, which does not include scientific research start-up funds, settlement expenses, etc.

Subject leader, this title already represents many things, and ordinary directors, experts and professors cannot afford this title.

However, the current environment in China is still dominated by public hospitals.

Although in recent years, private hospitals have also made great progress.

For example, the Asian Heart Hospital, a well-known private hospital in the cardiovascular field, ranks first in the country for its diagnosis and treatment, but most of the overall medical resources are tilted towards public hospitals.

As a traditional Chinese doctor, Lu Chen certainly had the same idea.

For most medical students in China, their first choice after graduation may not be a private hospital.

However, Lu Chen still smiled and said, "Thank you, I will consider it."

Zou Wei could see that Lu Chen didn't have this intention, and was slightly disappointed.

From his own illness, he has already seen that Lu Chen will definitely be a big boss in the medical field in the future.

And his uncle, Zou Yi, was full of praise for Lu Chen.

If Lu Chen could come to his family's private hospital, he would wake up laughing from a dream!

But now it seems that Lu Chen's coming to their private hospital can only be a dream...

When the two of them had just finished their meal, Lu Chen's hospital machine rang!
……

Lu Chen immediately put down the dishes and picked up the phone.

"General surgery, right? Okay, I'll be right there!"

Another emergency consultation!
Lu Chen looked at Zou Wei apologetically, "I'm sorry, I'm going to the emergency consultation here, you can eat first, don't worry about me, I'm almost finished."

Zou Wei hurriedly said: "Brother Chen, go get busy and leave me alone."

"Okay." Lu Chen nodded and immediately walked out of the cafeteria.

On the phone, he learned that the patient for consultation was a patient with sudden atrial fibrillation and low blood pressure.

Because some common cardioversion drugs can affect blood pressure, the first treatment for such hemodynamically unstable patients is electrical cardioversion.

Lu Chen did not go to the general surgery department immediately, but called the CCU duty room.

Let the graduate student on duty send him a defibrillator and conductive paste.

ps: Not all departments have defibrillators.

It was the young male graduate student again who sent Lu Chen the defibrillator.

"Ms. Lu, when you come back, just put the defibrillator in the CCU nurse's station."

"Okay, thanks." Lu Chen patted him on the shoulder, and then quickly ran towards the general surgery department.

……

General surgery ward.

Facing such a patient with atrial fibrillation and hypotension, the doctor in charge felt like a formidable enemy.

He didn't dare to leave the ward at all, he was very afraid that the patient would suddenly go into shock and die.

Seeing Lu Chen coming with a defibrillator, he breathed a sigh of relief.

"Defibrillate quickly! Defibrillate quickly!" The general surgeon urged several times in succession.

Lu Chen put the defibrillator aside, and did not start defibrillation immediately, but simply gave the patient a physical examination.

Most importantly, measure your blood pressure!
The patient is generally in good condition, with a blood pressure of 85/54mmHg, without any signs of shock, but a little flustered.

Lu Chen frowned, his blood pressure was indeed low, but it was not as scary as what he said on the phone.

Cardiogenic shock or something.

"Defibrillate quickly!" Seeing Lu Chen's delay in doing anything, the general surgeon held back and said, "The blood pressure is so low, the danger is too great."

"Wait a minute, the blood pressure is actually okay."

"Huh? Still waiting?"

Lu Chen nodded, "The patient is currently in good condition, and there is no sign of shock. I need to see the patient's laboratory report, such as the status of serum potassium."

"I forgot this, are you in a hurry to see this?" the general surgeon frowned.

"Electrical cardioversion should be used with caution for hypokalemia." Lu Chen explained, "And this patient has no indication to use electrical cardioversion for the time being."

When hypokalemia occurs, the self-discipline and excitability of cardiomyocytes increase, and the conductance decreases. At this time, the sensitivity to electric shock increases. If electrical cardioversion is performed, more malignant arrhythmias may result.

Moreover, if the hypokalemia is not corrected, the patient's arrhythmia is usually difficult to recover.

"Okay, I'll go check the serum potassium now." The general surgeon had no choice but to listen to Lu Chen for the time being.

But when he returned to the doctor's office, he saw that the patient's serum potassium was only 2.8mmol/L.

He was also slightly surprised, it was really low.

……

When Lu Chen heard the blood potassium value, he completely gave up his preparations for electrical cardioversion.

"Replenish the blood pressure first, it is best to supplement the serum potassium to 4mmol/L, so as to minimize the occurrence of arrhythmia." Lu Chen suggested to the general surgeon.

"Is that all?" the general surgeon asked with some doubts, "Is there really no need for emergency electrocardiography?"

"No need." Lu Chen shook his head.

"This..." He communicated with the patient's family just now, and he already said that he was going to receive an electric shock, but now that the electric shock is gone, it's really hard to explain.

Lu Chen continued: "Electric shocks are not insignificant to the human body. If you can avoid electric shocks, it is best not to have electric shocks."

"Okay." The general surgeon could only communicate with the patient again.

However, the patient's family members were more understanding and agreed to use drug treatment first.

"Doctor Lu, are you leaving like this?"

The general surgeon glanced at Lu Chen's badge, and found that Lu Chen was about to leave.

Lu Chen nodded, "This patient is very young, his blood pressure and blood potassium have risen, and his atrial fibrillation should be able to reverse on its own."

"What if you can't recover?" the general surgeon asked hastily.

"If the blood pressure goes up, you can use amiodarone for cardioversion." Lu Chen said, "If the blood pressure is still low, you can directly use the booster drug, and then use amiodarone."

"Then you write it clearly on the consultation form."

"no problem."

Lu Chen had no choice but to teach by hand.

Specialization is becoming more and more obvious now, not to mention the barrier between internal medicine and surgery.

Even between the same disciplines, such as cardiac coronary intervention and cardiac electrophysiological intervention, there will be many barriers.

The consultation form is full of treatment opinions, and the defibrillator is temporarily left in the general surgery department for backup, and the general surgery department will change it back later. (CCU has many defibrillators.)
After finishing these things, Lu Chen left the general surgery department.

……

Go back to the CCU lounge.

Lu Chen found a packaged meal on the table outside the door of his old nest.

Taking out his mobile phone, he saw Zou Wei's message to himself.

He was afraid that Lu Chen would not be full, so he ordered two more dishes in the cafeteria and brought them over.

"This kid is really good at it!"

Lu Chen smiled, and immediately replied "Thank you" to Zou Wei.

Not to mention, I came out for consultation halfway through the meal and was busy for more than half an hour.

Lu Chen is really hungry!

So, he took the food, went back to the lounge, and continued to cook.

You can't do without cooking!

In the event of an emergency or something at night, I will be hungry again.

(End of this chapter)