I Can See Health

Remember [new] in one second! "Thyroid function?" Yao Weiwei was startled and quickly looked at the test sheet, "There is really no..."

"Yes, so this patient definitely needs to check his thyroid function again." Lu Chen said, "If the heart rate slows down due to hypothyroidism, then there is no need to install a pacemaker."

Hyperthyroidism increases the body's metabolic rate, causing palpitation and rapid heartbeat.

On the contrary, in hypothyroidism, the body's basal metabolic rate decreases, which can cause the heartbeat to slow down.

At this time, after treating hypothyroidism, the patient's heart rate will naturally increase, and there is absolutely no need to install a pacemaker!

As a graduate student in cardiology, Yao Jie must know this. Hypothyroidism causes the heart rate to slow down.

However, treating clinical patients is not like giving a few options to solve a problem. Instead, it requires the use of clinical diagnostic thinking to peel off the cocoons and find the patient's final disease.

"Junior sister, this patient needs to check more than just his thyroid function." Lu Chen continued, "We also need to check the coronary artery to find out whether the patient has a slow heart rate due to coronary heart disease. If so, we must also treat the coronary heart disease. Drugs. In addition, the patient must be asked in detail about his or her medications, such as our common beta-blockers.”

"Yes." Yao Jie had already picked up the small notebook and followed Lu Chen, listening to what he said and taking notes at the same time.

This scene seems to be back to the time when I was an intern in the Eighth District of Jinghua Second Hospital.

She was also like this, following senior brother Lu Chen and listening to him explain various diseases.

Before they knew it, the two of them were walking back to the doctor's office.

"So, it's up to you whether this patient should undergo surgery or not." Lu Chen said, "Don't talk about surgery in a hurry. Follow the diagnosis and treatment guidelines thoroughly and complete the preoperative examination first."

"Okay, senior brother." Yao Jie smiled and nodded.

What the two said was heard by Wu Lang. He turned around in surprise. If he heard correctly, Lu Chen said there was no need for surgery?

Wu Lang frowned. He had seen this patient before, and he had already told Yao Jie that he would have surgery tomorrow.

Isn't this a slap in Lu Chen's face?

Although Lu Chen's surgical ability amazes everyone, as a graduate student at Kyoto University School of Medicine, Wu Lang also has his own little pride.

He hurriedly said: "Lu, Lu Chen, the patient in the 23rd bed just now, Teacher Fang has already told me that he will have an operation tomorrow morning."

Lu Chen frowned, turned around, and saw a boy with a somewhat feminine appearance.

"Are you sure it was Teacher Fang who said this?" Lu Chen confirmed again. He did not believe that Fang Ruzhang would do such a hasty thing.

"Fang, Teacher Fang said that we are going to have surgery..." Wu Lang's voice became smaller and he was out of breath.

Lu Chen chuckled, "Then tell me, has Teacher Fang personally seen this patient?"

"Brother, Teacher Fang is still in the cath lab and didn't have time to see this patient." Yao Jie whispered from the side.

Lu Chen nodded. He had already guessed that Fang Ruzhang had definitely not seen the patient personally. He probably just said that he might need a pacemaker surgery, and then the students below regarded it as an "imperial order" and carried it out. .

"I will communicate with Teacher Fang Ruzhang personally about this patient," Lu Chen said.

"Ah? This..." Wu Lang froze on the spot, and Lu Chen was equivalent to vetoing everything he had done before.

…

At this moment, a middle-aged man with a big belly walked into the doctor's office with a briefcase under his arm.

"Who is the doctor in charge of bed twenty-three?"

As soon as he walked into the doctor's office, the middle-aged man shouted at the top of his lungs.

Everyone in the doctor's office looked towards the door.

The middle-aged man did not feel any embarrassment, but repeated: "Who is the doctor in charge of the twenty-three beds?"

Only then did Yao Jie stand up, "Hello, I'm the bed doctor."

"What did you do?" The middle-aged man frowned when he saw Yao Jie. Why was he such a young doctor? "The first doctor who came over said he was going to do an operation and would arrange it right away tomorrow. But another doctor just came over. , It’s not necessary to do surgery!”

The middle-aged man's voice was so loud that everyone in the department wanted to hear it.

Yao Jie bit her lip, not knowing what to say for a moment.

Wu Lang on the side even shrank his head and remained completely silent, feeling a little happy in his heart, "Look, they're all here to demand punishment!"

"Hello, are you the patient's son?" Lu Chen stood up and asked.

The middle-aged man didn't want to pay attention at first, but when he saw Lu Chen's attitude and momentum, he was slightly startled, and then nodded, "Who are you?"

"I am a surgeon." Lu Chen said, "If your mother can perform surgery tomorrow, I will do it."

Hearing this, the middle-aged man who was originally a bit arrogant immediately put a smile on his face, and walked up to Lu Chen, trying to disperse the smoke, "Hello, doctor, may I ask what your name is?"

The differences between internal medicine and surgery can be seen in general from here.

Many patients are very polite to surgeons, but physicians are not so good-natured.

Lu Chen frowned slightly and did not answer the middle-aged man's question, "Sorry, smoking is prohibited in the hospital."

The middle-aged man smiled awkwardly and put the cigarette back.

"Doctor, this is it, when can you schedule my mother's surgery?!"

"Didn't I tell you that it can't be done for the time being." Lu Chen frowned, "Just now I went to tell your mother that the surgery is pending."

"Ah?" The middle-aged man was stunned. How could a surgeon not want to do surgery and push it out?

"We need to improve the preoperative preparation..." Before Lu Chen finished speaking, he was interrupted by the middle-aged man.

"We have checked in the hospital below. We came here because we think you have good skills and want to do surgery!" The middle-aged man hurriedly said, "Why do you want to check again? Isn't this a waste of time?"

Lu Chen smiled and did not refute immediately, but pulled a chair over, "Uncle, sit down, we will tell you slowly."

Seeing this, the middle-aged man sat down immediately.

"First of all, I am a surgeon. Do you think I will not do the surgery and deliberately delay time?" Lu Chen smiled.

The middle-aged man nodded slightly, "That's right, it's just like doing business. If business comes to you, just do it."

"Uncle, UU reading wｗw.uukansｈu.net you must not make a mistake." Lu Chen said, "Our business is completely different from doing business. In business, we beg you to do it. But for us, we hope you don't come to the hospital."

The middle-aged man smiled, and there seemed to be some disdain in his eyes.

Lu Chen didn't care what the middle-aged man thought, and continued: "Uncle, have you ever thought that your mother doesn't need a pacemaker?"

"But we checked it at the hospital downstairs, and they said that a pacemaker should be installed!" The middle-aged man still held his own point of view.

"I didn't say that the examination you did before didn't count." Lu Chen said, "but there are some necessary examinations that are lacking, and we need to further improve them. If there is no problem in the examination, then we will go for surgery."

The middle-aged man paused and hesitated: "Then, when is the earliest time for surgery?"

"If you cooperate, start preoperative preparation today, and there will be only two days at most." Lu Chen said.

"Okay, I'll listen to you." The middle-aged man finally gave in.

Lu Chen heaved a sigh of relief after hearing this and smiled at Yao Jie beside him.