I can see health

Chapter 900 Flower Season
After not working in the clinic for a long time, Lu Chen felt a long-lost sense of familiarity when he came to the ward to check on patients again.

The blood on his body seemed to be boiling.

Sure enough, he still prefers to work clinically.

During the recent period, the affairs of Yunhua and the Fifth Hospital of Shanghai had consumed too much of his energy.

Now all aspects of the Fifth Hospital of Shanghai have gradually stabilized.

Next, Lu Chen will shift his focus back to clinical and scientific research.

"Director Lu, I have another patient here." Gu Xinyue said with a smile, "I seem to be a fan of yours, and I came to see you specially."

"Is the condition difficult?" Lu Chen smiled.

"This...isn't bad." Gu Xinyue paused, "You'll know it after you've seen it."

"Okay, let's have a look together."

Lu Chen brought Gu Xinyue and Jin Miao to another ward.

Behind them, followed by a group of doctors, including attending doctors, residents, and some interns.

Just like in the TV series.

Lu Chen stood alone in front and led most of them to the patient's room.

Gu Xinyue handed the patient's medical records to Lu Chen, while introducing: "Patient, female, 18 years old.

"Admitted to the hospital due to repeated syncope for 1 month."

"The patient had sudden palpitations one month ago, and fainted to the ground a few seconds later, with loss of consciousness, accompanied by convulsions of the limbs, no eyes turned up, no foaming at the mouth, and he woke up on his own after about 1 seconds."

"I once went to a local hospital, but the details are unknown, and the effect was not good. Similar situations happened every now and then, and the frequency became more and more frequent. I fainted 1 times in the past day."

At this point, Gu Xinyue paused and added a past history.

"When the patient was 5 years old, that is, 13 years ago, due to ventricular septal defect, he underwent surgical thoracotomy repair."

Lu Chen nodded, already deducing various situations in his mind.

A group of people walked into the ward.

The family members who were accompanying them in the ward were also taken aback.

"Family, this is Director Lu Chen of our Cardiology Department."

Gu Xinyue quickly said to the patient's family.

"You are Director Lu!"

The patient's family member is a middle-aged man who seems to be the patient's father.

His attitude towards Lu Chen was very humble.

"Well, hello." Lu Chen nodded and greeted the middle-aged man loudly.

"Director Lu, Director Zou Yi asked me to come to you." The middle-aged man directly expressed his intention, "He said that you may have a chance to keep my daughter from putting her pacemaker here."

Lu Chen frowned, put the pacemaker?

For an 18-year-old girl in her prime, she will face many problems in the future after installing a permanent pacemaker.

For example, battery replacement may lead to problems, as well as pouch infection problems, etc., which must be treated with caution.

Therefore, a differential diagnosis must be made, taking into account all possibilities.

If the cause is reversible, the installation of a permanent pacemaker can be avoided. For example, atrioventricular block caused by acute viral myocarditis may be reversible.

At this time, Gu Xinyue took out the patient's electrocardiogram.

There are three ECGs.

Lu Chen picked it up and looked at it intently.

Sure enough, there were three ECGs of atrioventricular block.

"Let me see the patient first."

Looking at the electrocardiogram independently of a clinical patient is a hooligan.

Lu Chen walked to the girl's side.

Start taking a detailed medical history.

Including the symptoms, causes, process, duration and relief of the first attack, etc.

Lu Chen's consultation was very careful.

After the questioning, it was a physical examination.

The patient's physical examination results showed: the breath sounds of both lungs were clear, and the lower lungs did not hear moist rales.

The heart circle is not enlarged, the heart sounds are acceptable, the rhythm is irregular, no murmur is heard, and there is no edema in both lower limbs.

Taking back their stethoscope, everyone looked at Lu Chen curiously.

For this patient, the opinion of the other hospital is to put a pacemaker.

The diagnostic results of other top hospitals in Shanghai are all syncope caused by atrioventricular block.

Director Lu Chen, do you have any different opinions?
"Doctor Gu, what do you think about these three diagnoses?" Lu Chen asked.

Gu Xinyue has been studying this ECG for a long time.

He said without hesitation: "I am currently considering first-degree atrioventricular block, high-degree atrioventricular block, and complete right."

"Yeah." Lu Chen nodded, "Then according to your thinking, this patient must have a pacemaker?"

Gu Xinyue did not deny it, "Almost."

When the patient's family heard this, their expressions became very ugly, "Director Gu, my daughter is only this year, please think of a way, I beg you!"

The voices of the family members were pleading.

If it wasn't for this glimmer of hope, the family members would not have taken the patient to seek medical treatment, and finally listened to Zou Yi's advice and came to the Fifth Hospital of Shanghai.

The family seemed to have thought of something, and turned to look at Lu Chen, "Director Lu, I heard from Director Zou Yi that one of his nephews was given an ultimatum by all the hospitals to install a pacemaker. "

"But when it came to you in the end, it was you who helped him solve the problem, found the cause, and finally avoided implanting a permanent pacemaker."

No wonder the family members of the patients found the Fifth Hospital of Shanghai!

At the beginning, Lu Chen helped Zou Wei find out the cause of atrioventricular block and prevented him from implanting a permanent pacemaker.

"Family, please don't get excited." Lu Chen said solemnly, "We are analyzing the condition and helping you solve the problem. If it is possible not to put the pacemaker, we will definitely not do it."

After hearing this, the family members calmed down a lot.

Lu Chen originally wanted to analyze his condition in the ward, but now it seems that he can't do it.

The patient's family members are an uncertain factor, which is likely to interfere with the analysis of the condition.

"Doctor Gu, let's go back to the office to discuss." Lu Chen said to Gu Xinyue, and then looked at the family members beside him, "We will tell you the final diagnosis and treatment plan after we have the results."

"Okay, then please trouble Director Lu."

Although the family members would like to hear the discussion process, this kind of disease analysis is generally not open to the public and will only give the patient a final result.

……

Lu Chen led a group of people back to the demonstration classroom of the Department of Cardiology.

Except for the doctor on duty, all other doctors gathered together.

As the bed doctor, Gu Xinyue introduced the patient's condition again.

"We consider cardiogenic syncope caused by high-grade atrioventricular block. This patient must have a pacemaker." Gu Xinyue reiterated her point of view.

All eyes in the audience were on Lu Chen.

Lu Chen didn't answer this question directly, but instead asked, "Put the patient's symptoms aside for now, let me think about it, the diagnosis of these three electrocardiograms, did you end it so quickly?"

All the doctors were shocked when they heard Lu Chen's words.

Isn't this electrocardiogram exactly what Gu Xinyue referred to as high-grade atrioventricular block?
Could this be another diagnosis?
Seeing Lu Chen's confident appearance, Gu Xinyue refocused her attention on the three ECGs.

(End of this chapter)