I Can See Health

   Chapter 631 Uncomfortable Electric Shock (First Update)

  Because Lu Chen had just arrived in the magic capital, Zhang Shuqing did not let him enroll immediately.

   Instead, he gave Lu Chen a few days off. After he was familiar with the hospital environment, he would officially enter the department next Monday.

   Taking advantage of this time, Lu Chen, under the leadership of Ke Yue and Dong Hao, quickly visited the entire First Affiliated Hospital of Modu University, and was initially familiar with the locations of various clinical departments.

  …

  Monday is coming soon.

  Lu Chen put on a new badge and came to the doctor's office in the second district of the heart.

  From a master's degree to a doctorate, Lu Chen is not only a change of identity, but also a change of responsibility.

   When Lu Chen was rotating in the Second Hospital of Jinghua, he was only a master, equivalent to a resident doctor, but he was still a student in essence, and he had no right to issue medical orders on his own.

   Now, Dr. Lu Chen is studying, rotating in the department, and has been used as an attending doctor. (Two years after graduating from a master's degree, you can take the examination for the attending doctor)

   The attending doctor can already manage the bed independently and issue medical orders independently.

  Lu Chen's power has officially been upgraded!

   in the doctor's office.

   Zhang Shuqing introduced the current members of the group to Lu Chen.

  Senior physician Zhang Shuqing, attending physician Yu Bin, several graduate students and regular trainees.

The arrival of   Lu Chen added an attending doctor to the group.

   "Lu Chen, you and Yu Bin separate the beds of our group together." Zhang Shuqing looked at Lu Chen, and then said to Yu Bin, "You and Lu Chen will subdivide the beds later and give Lu Chen a few students."

   "Okay." Yu Bin nodded slightly.

The arrival of   Lu Chen also liberated his labor force.

   He can concentrate more on preparing for next year's Ph.D. exam.

After Zhang Shuqing finished his instructions, Yu Bin said to Lu Chen, "Doctor Lu, how many hospital beds do you want?"

   said, Yu Bin took out the bed arrangement table in the group.

  Lu Chen smiled, "Listen to Senior Brother Yu's orders."

   Yu Bin graduated with a master's degree and worked for four or five years. It's not wrong to call him a brother.

   "That's good." Yu Bin said, "Then we have an average score. You take care of the ten beds in the front, and I'll take care of the ten beds in the back."

"no problem."

   Lu Chen has no opinion on managing patients.

   "In addition, there are currently six students in the group, three of us each."

  Lu Chen's group was divided into three students, one boy and two girls.

   One of the girls is a postgraduate student of Modu University, working in the Department of Cardiology, and the other two are interns of the Medical College of Modu University.

  …

   After Zhang Shuqing finished his instructions, he left. He was leaving the clinic this morning.

  Lu Chen and Yu Bin started their ward rounds today.

   It was the first time to participate in a ward round as a senior doctor. Compared with before, Lu Chen's mood was very different.

   He felt that the burden on him was heavy!

   "Come on, let's go round the room together."

  Lu Chen walked at the front, followed by three students.

   He was about to walk into the ward when Ji Yingying, a female graduate student in the group, suddenly said, "Senior brother, the 10-bed family members in our group are very difficult to speak, so be careful."

   "Huh?" Lu Chen frowned, "The family members have a bad temper?"

   Ji Yingying nodded, "Every time we rounded the room last week, the patient's family members had to quarrel with Teacher Yu."

   "Okay, thank you Junior Sister, I understand."

   There were many patients who were difficult to deal with clinically, so Lu Chen was not nervous and walked into the ward with three students.

  …

   in the ward.

   On the 10-bed bed, lies a female patient of about 50 years old.

   A middle-aged man sat beside the bed and played a short video with a voice over.

   When he saw Lu Chen and others coming in, he didn't say a word, didn't turn off his phone, and continued to scan his own videos.

  Lu Chen calmly walked to the other side of the patient's bed.

  Before the ward round, he had a simple understanding of the patient's condition.

   A 49-year-old female patient with a history of hypertension and duodenal ulcer.

   He was admitted to the hospital due to "intermittent palpitations for 4 years, and aggravation for 1 day".

   "Auntie, are you feeling better today?" Lu Chen asked as usual.

   Before the patient could speak out, the patient's family members became impatient, "Why do you ask every day?! Come up with a solution, and the doctor in charge has changed again today?"

   "Uncle, don't worry." Lu Chen comforted patiently, "I'm a doctor in Director Zhang's team, you can tell me if you have any questions."

The    man calmed down a little, frowned and said, "Well, I'll tell you, my wife has been hospitalized for three or four days, and your hospital hasn't come up with a good solution yet!"

  Lu Chen was about to answer when Ji Yingying took over the conversation and whispered, "Brother, this patient was diagnosed with VT (ventricular tachycardia) before, and the patient was advised to undergo ICD treatment, but the patient refused."

   "Since then, the patient repeatedly went to the doctor because of palpitations, and was cardioverted every time."

  Lu Chen nodded slightly, "Thank you, I see."

   At this time, the man said loudly: "Don't tell me to do surgery again, we said not to do it! My wife is so young, if this thing is installed, it will be inconvenient to live in the future!"

  The man glared at Ji Yingying all the time.

  It is estimated that it is so many days of grievances, and I want to let it out in one breath.

   The little girl shrank her head and took a step back in fear.

  Seeing this, Lu Chen quickly stepped forward and walked between his family and Ji Yingying.

   "Uncle, I can understand your anxious mood." Lu Chen comforted, "You calm down now, we can discuss together, all for the sake of the patient's own disease."

  The man glared at Ji Yingying, then looked at Lu Chen without speaking.

  …

  Lu Chen turned around and began to examine the patient.

  Although the diagnosis of "ventricular tachycardia" was clearly recorded in the medical records, Lu Chen did not believe it at all.

  Looking at Lu Chen's serious physical examination of his wife, the man no longer had seizures, but turned off his mobile phone and stood quietly.

   After the physical examination, Lu Chen asked, "Auntie, every time you have an attack, what's wrong with you?"

   "It's just palpitation, it feels like my heart is about to jump out." The patient said.

  Lu Chen frowned and said, "Are there any other discomforts? For example, dizziness, fainting, etc."

   The patient thought about it carefully, then shook his head, "No."

  Lu Chen didn't speak, took the medical record in Ji Yingying's hand and started to read it.

   A total of two electrocardiograms came into view.

   The first ECG, at the onset of the patient's symptoms, showed wide QRS tachycardia.

   The second ECG, after electrical cardioversion, shows sinus rhythm.

   At first glance, it’s really VT (Venticular Velocity)!

   "Doctor, I'm really afraid of being electrocuted now!"

   At this time, the patient said again.

   "Every time I give me an electric shock, that feeling is too scary." The patient's face showed indescribable horror.

  Lu Chen knew that it was extremely painful for a person to be cardioverted when he was awake.

   And this patient, not once or twice, but in the past four years, has experienced this kind of "electric shock" many times.

   "I'm now afraid of this disease attacking, so I don't dare to do too much physical work."

   (end of this chapter)