I Can See Health

"Classmate, are you a doctoral student this year?"

Lin Cui looked at Lu Chen doubtfully.

Everyone's eyes were fixed on Lu Chen.

Lu Chen smiled and replied unhurriedly: "Director Lin, I am a master's student of Teacher Li Yao and I just entered the department today."

Lin Cui frowned.

In recent years, most of Li Yao's students have come from transfers or have been admitted to two medical schools, and the quality of the students is relatively poor.

Unexpectedly, Li Yao actually has such a powerful student this year, which is really surprising.

"That was a good answer just now." Lin Cui said calmly.

She doesn't care about anything about Li Yao.

No matter how outstanding her students are, Lin Cui can't feel the slightest favor in her heart.

Although Lin Cui behaved very coldly, everyone in the doctor's office, whether they were students or undergraduate doctors, were shocked, and many of them even started to look dirty.

Is this the level of knowledge that a first-year master's student should have?

There are many second- and third-year graduate students here, as well as students in the second and third years of regular training, and even students majoring in cardiology.

They asked themselves that they were definitely not as good as Lu Chen in terms of electrocardiogram interpretation.

…

There are five electrocardiograms, and the last one is still uninterpreted.

However, after learning that Lu Chen was Li Yao's student, Lin Cui's interest in explaining electrocardiograms became even less intense.

Lin Cui directly stated the diagnosis of the fifth electrocardiogram and hastily ended the explanation of the electrocardiogram.

…

Everyone watching the study slowly dispersed.

"Lu Chen, what do those coronary 6+2 phenomena you just mentioned... mean?"

Ke Yue blinked his eyes, showing confusion.

Lu Chen smiled and said: "What I'm talking about involves the knowledge of electrocardiogram vectors and cardiac anatomy. You have to know that electrocardiogram is not a single graphic change, but you need to understand its essence, so that you can face the ever-changing electrocardiogram. It’s not just a matter of mechanically reciting the electrocardiogram, which is easy to forget.”

"Oh." Ke Yue said, "Lu Chen, if you have the chance, teach me how to read an electrocardiogram."

"Okay, no problem." Lu Chen smiled, "We can discuss this with each other when we have the opportunity in the future."

"Thank you." Ke Yue squinted her eyes and smiled, sweeping away the haze just now.

"Congratulations, I received a +1 thank you from Ke Yue!"

As soon as Ke Yue finished speaking, Lu Chen received another prompt from the system.

ah? That’s okay too!

Lu Chen was stunned. Doesn't this system need to treat illnesses and save people in order to receive gratitude points?

At present, I only verbally promised Ke Yue to teach her how to read an electrocardiogram, but she actually received thank you points!

In the few months since he obtained the system, other people have thanked Lu Chen for other things, but they have not received any gratitude points for this.

How does the system determine the thank you value?

Lu Chen was still confused and could only wait until the system completion reached 100% to see what changes would happen!

…

After checking the room, Sun Guoguo began to give instructions on the team's tasks today.

"Beds 5, 12, 16, and 20 will be discharged today. The doctor in charge of the beds must sort out the medical records in time."

"Teacher Li Yao is admitting patients in the outpatient clinic today, and everyone in the hospital will take turns."

"Lu Chen, when you first came to the department, you followed Xiao Dong and learned how to admit new patients and how to give medical orders."

The daily tasks of resident doctors are to admit patients, issue medical orders, write medical records, and organize discharge medical records.

This cycle repeats.

As for how much knowledge you can learn, it only depends on whether the teaching teacher can explain relevant clinical knowledge while treating patients.

…

Ten o'clock in the morning.

Lu Chen received an invitation to join the WeChat group.

It was an invitation sent by Zhou Wei.

"Study guidance group of Jinghua Second Hospital."

Lu Chen didn't think much and clicked to accept the invitation.

There are a total of 497 people in the study guidance group.

After Lu Chen joined, the entire group grew to 498 members.

"What kind of study group is this? Why are there so many people?"

"Isn't this some inappropriate group chat?"

After joining the group chat, Lu Chen saw messages like "asking for guidance" popping up constantly in the group.

"Cardiology department, please give me some guidance!"

"Department of Nephrology, please give me guidance!"

"Respiratory Medicine, please give me guidance!"

…

The strange thing is that the group chat messages are only medium, only messages asking for guidance, and no other replies.

Although Lu Chen felt that this group was weird, he didn't pay attention.

…

At eleven o'clock in the morning, Lu Chen admitted his first patient.

After taking the electrocardiogram, I came to bed 12.

The patient is a middle-aged woman in her forties.

He was dressed simply, holding a straw hat in his hand, with a sickly blush on his face.

"Doctor, I feel uncomfortable."

The woman lay on the bed and pointed to the position of her heart.

"Auntie, do you feel your heart is beating fast or slow? Is it chest pain or chest tightness?"

"No, I just feel uncomfortable."

Feeling uncomfortable is one of the most common "symptoms" in cardiology.

But patients often cannot describe what the specific discomfort is, whether it is chest pain or chest tightness.

Apart from feeling uncomfortable, the woman had no other symptoms.

After taking the medical history, the physical examination began.

Blood pressure is 110/80mmHg, normal.

Lu Chen took out his Yuyue brand stethoscope, placed it on the apex of the patient's heart, and started auscultation.

Auscultation has a certain order, starting from the mitral valve auscultation area, followed by the pulmonary valve auscultation area, aortic valve auscultation area, aortic valve second auscultation area, and tricuspid valve auscultation area.

The auscultation area of ​​the mitral valve is the strongest point of the apical pulse, also called the apical area. It is normally 0.5-1cm inside the fifth intercostal space at the level of the midclavicular line.

Auscultation examination completed.

No obvious murmur was heard from each valve, but Lu Chen found something abnormal.

That's an irregular heartbeat.

However, auscultation alone cannot determine the nature of the arrhythmia.

Lu Chen took an electrocardiogram.

The electrocardiogram showed: sinus bradycardia, premature atrial contractions, as well as downsloping depression of the ST segment, flat T waves and shortened QT interval. UU Reading www.uｕkanshu． net measured 280ms.

There is something wrong with the electrocardiogram, and the problem is not minor.

However, this electrocardiogram change is not specific.

Because clinical diagnosis relies not only on electrocardiogram, but also on symptoms, signs and auxiliary examinations.

"Doctor, when can I be discharged from the hospital?"

This simple woman sat on the bed, holding her red cloth bag in her arms, her eyes full of anxiety.

"Auntie, you have just been admitted to the hospital. We don't know your specific condition yet. No one can be sure about the treatment." Lu Chen frowned.

These patients, when they first enter the hospital, they are thinking about the time of discharge. Do they think that the hospital is a place where medicine can cure the disease as soon as they arrive?

"We must first find out the cause, then apply symptomatic medication, and finally observe the efficacy of the medication."

"Then check it out quickly." The woman said anxiously, "I still have a lot of things to do at home. I have two grandchildren to take care of, and there is farm work waiting for me in the fields. The family can't survive without me."

"Auntie, where are your family members?" Lu Chen continued, "Did you come to the hospital alone?"

The woman nodded, "I came here alone and had a quarrel with my family."

"Quarrel?" Lu Chen raised his eyebrows.

Quarrel may seem to have nothing to do with clinical care, but it is often a very important piece of information.

Related to quarrels, there are internal and external injuries caused by fighting, drinking drugs (rat poison, pesticides) when excited, etc.

"Did you suffer any trauma or eat anything special?"

"No." The woman shook her head, "I just had a quarrel with my husband, not a fight, and I didn't do anything else."

Lu Chen nodded and truthfully recorded the patient's condition in the medical record.