I Can See Health

   Chapter 640 Self-confidence is destroyed!

  Jiao Jingqiu pursed her lips, still a little unwilling to give up, "Is there any problem with implanting a pacemaker for this arrhythmia?"

  The basal heart rate is only 37 beats/min, which is a bradyarrhythmia. Is there a problem with the implantation of a pacemaker?

"There's a problem!" Lu Chen said, he didn't care about everyone's astonishment, and continued: "Assuming a cardiac pacemaker is implanted, the patient is in sinus rhythm, and a dual-chamber pacemaker should be implanted, and its working mode For atrioventricular pacing (DDD), it senses the electrical activity of the atrium and triggers the electrical activity of the ventricle.

   "The patient is likely to feel uncomfortable due to the rapid heart rate and frequent ventricular pacing!"

  Lu Chen's words were firm and directly pointed out the inappropriateness of "implanting a pacemaker"!

   Everyone present was silent.

   A few minutes ago, everyone's opinions could be said to be surprisingly unified, and a pacemaker needs to be implanted!

  But now... slap in the face!

   The speed of the slap in the face is so fast!

   Jiao Jingqiu had nothing to say, glanced at Lu Chen, and sat down silently.

  Lu Chen continued to fight while the railway was hot: "The correct treatment for this patient should be ablation!"

   "Ablate atrial premature death! The compensatory interval disappears, and the patient's heart rate should increase!"

  …

   At this time, everyone in Shi's classroom looked at Lu Chen, and their eyes couldn't help but reveal a look of amazement.

   Except for the people in the second district of the heart, who knew something about Lu Chen, everyone else was secretly wondering, when did the Cardiology Department of the First Hospital of the Magic City produce such an excellent young man!

   on the podium.

   Liu Jun and Zhang Shuqing had bright smiles on their faces.

   Liu Jun's smile was because Lu Chen solved his problem.

   Zhang Shuqing's smile was because of Lu Chen's excellence, he felt a little bit of pride!

   "Okay, now I'll make the final summary." Liu Jun put away his smile.

   He looked around the people in the classroom, and his voice was loud, "Today's case has made everyone realize a problem, the heart rate is slow, is it not necessary to have a pacemaker implanted?"

   "Solving the problem, starting from the source, and finding the essential reason for the slow heart rate is often the most effective!"

The voice of    just fell.

   A series of prompts popped up in Lu Chen's system panel.

   "Congratulations, received +10 thanks from Liu Jun!"

   "Congratulations, you received a +5 thanks from Zhang Shuqing!"

   "Congratulations, +5 for receiving thanks from Qin Feng!"

  “…”

  Because all the people present were senior titles, the thanks to Lu Chen also increased a lot accordingly.

   Seventy or eighty people were present, and Lu Chen almost got over 300 thanks!

   "It seems that the more discussion of this kind of case, the better!" Lu Chen thought to himself, this kind of benefit is worth the many days of clinical work.

  …

   Case discussion ended.

  The crowd slowly exited the stage.

   While leaving, they also paid attention to Lu Chen, the young man who appeared today.

   "Lu Chen, you can go back later!" Zhang Shuqing stopped Lu Chen who was about to leave.

   "Okay." Lu Chen was about to go back and write today's medical records. Seeing this scene, he could only sit down silently.

   Jiao Jingqiu glanced at Lu Chen and left without saying anything.

   Today, her self-confidence has been destroyed.

   Destroyed by a doctoral student who has just entered the clinic for a few years!

  …

   in the classroom.

   Only Lu Chen, Liu Jun, and Zhang Shuqing were left.

   "Lu Chen, this is the director of our Department of Cardiology, Director Liu." Zhang Shuqing immediately stepped forward and introduced.

   "Hello Director Liu." Lu Chen was neither humble nor arrogant.

   "Well, good!" Liu Jun laughed, patted Lu Chen on the shoulder, and looked up and down at Lu Chen carefully, "Where are you from?"

   "Director, I'm not a native of Modu, I'm near Jiangcheng in Huzhong Province."

   "Oh, Jiangcheng? This is a good place!" Liu Jun nodded slightly, "I went to Jiangcheng once when I was young, and I was deeply impressed by the culture and customs."

   Liu Jun is worthy of being a good river and lake, and he quickly narrowed the distance with Lu Chen.

   "Your undergraduate and master's degrees are also from Jiangcheng?" Liu Jun continued.

  Lu Chen shook his head, "The undergraduate is from Jiangcheng University, and the master is from Jinghua."

   "Jinghua?" Liu Jun was stunned for a moment, his expression changed again when he looked at Lu Chen, "Your master's tutor... Could it be Li Yao?"

  Lu Chen was startled, "Yes!"

   He looked at Liu Jun strangely.

   This was the first time he met Liu Jun, how could Liu Jun know about his mentor in Jinghua?

Liu Jun seemed to see Lu Chen's doubts and smiled, "Your supervisor has recently published a top journal paper. This kind of paper is extremely rare no matter which hospital it is in, and we must be concerned about it. "

   "Professor Li Yao once also communicated with me that her student union came to Modu. I didn't expect you to come so early."

  Lu Chen came to the hospital two months in advance.

   There is still one month before the start of school.

  Lu Chen understood this time. Professor Li Yao told him before that he would say hello to his old classmates in the magic capital and ask them to take care of him.

  I didn't expect that this relationship was actually the chief director!

  Li Yao's relationship is really tough.

   But then again, if the relationship is not strong, Mr. Li Yao would not be able to win the "Outstanding Youth" this year.

   "Director Liu, this student of mine is incredible!" Zhang Shuqing laughed aside, "His resume is very dazzling!"

   "Really?" Liu Jun smiled slightly. He looked at Lu Chen and liked it more and more, "Lu Chen, come with me."

   "Yes." Lu Chen nodded.

   He followed Director Liu Jun to the VIP ward of the CCU in the heart.

  …

  In the VIP ward.

   A male patient in his fifties was lying on the hospital bed.

  Beside him stood a man slightly older than him, with a Chinese character face, a suit and leather shoes, and a stern expression.

   Seeing the three of Liu Jun walking in, his expression did not change, he just nodded slightly: "Director Liu, you are here."

   "Juju Zou, why are you here in person?" Liu Jun hurriedly stepped forward and smiled.

   "I heard that you had a big discussion on the subject, I came to see the results."

  Zou Yi said indifferently, he glanced behind Liu Jun, why is there a young doctor?

   He looked a little unhappy. The less people knew about his visit to the hospital, the better.

   "Officer Zou, the result of our discussion has come out." Liu Jun said sternly, "It may be necessary to perform radiofrequency ablation."

   "Huh?" Zou Yi frowned deeply, "Isn't a pacemaker implanted? Why do you need to do ablation again?"

  Zou Yi has already asked a professor in Kyoto. After someone saw the electrocardiogram, they suggested implanting a pacemaker.

  Why is the magic capital melting? !

   However, for ablation and pacemaker implantation, Zou Yi definitely prefers ablation.

  The pacemaker is a permanent foreign body implant, and there will be many problems in the later treatment.

"How do you say..." Liu Jun organized the language and wanted to use the simplest language to explain the patient's cause, "Actually, the patient's slow heart rate is the result, caused by the frequent occurrence of atrial arrhythmia. , the patient's heart rate will increase!"

   "Well." Zou Yi nodded slightly, "Well, give me a copy of the case data."

   He decided to take all the medical records and ask the doctor in the magic capital.

   Regarding the question of surgery, don’t be sloppy at all!

   "Okay, I'll ask Dr. Lu to send it to your secretary later." Liu Jundao, "Dr. Lu is also the main person involved in this discussion, and has made great efforts for this discussion."

   "Just send the case to me directly." Zou Yi glanced at Lu Chen and didn't care.

   He didn't quite believe that with so many chief professors around, what use could a young doctor do?

   This young doctor is probably just a person Liu Jun introduced to focus on training.

   (end of this chapter)