I can see health

Chapter 575 The rush to do the electrocardiogram!
For such a simple operation, Lu Chen went on stage in person, so the process was naturally very smooth.

After the operation, Ding Rongli wanted to thank Lu Chen, but he refused.

"Doctor Lu, let me treat you to dinner."

"You can come to me anytime you need it in the future."

"Doctor Lu, you don't have to be polite to me, it's a little meaning, you take it!"

Ding Rongli showed her affection many times, but Lu Chen rejected them all!

Treatment to save lives is his principle.

But emotionally, he is very cold to these privileged classes.

Especially when Ding Rongli wanted to live in the ward with only two beds when he had already admitted two emergency patients.

Lu Chen didn't have any good feelings for Ding Rongli. This was completely disregarding the safety of emergency patients!

More importantly, after the operation was over, Lu Chen did not receive any "thank you value" prompts in the system panel.

What does this mean...

On the surface, Ding Rongli was very grateful, but no one knew what was actually on her mind!

Lu Chen only regarded Ding Rongli as an ordinary patient, and after the diagnosis and treatment, there will be no more entanglements in the future.

……

The first area of ​​the heart, the lounge of the cath lab.

Lu Chen and Qin Sifeng sat opposite each other.

"Oh, Lu Chen, you really look like me when I was young!"

"Mr. Qin, otherwise the two of us wouldn't be able to go together!"

Lu Chen felt more and more that Professor Qin was too fond of him.

Regarding all of Lu Chen's performances, Qin Sifeng completely noticed them.

When Qin Sifeng was young, relying on his own medical skills, just like Lu Chen now, he simply cured diseases and saved lives, he didn't flatter, follow others, and didn't know how to maintain the relationship with his superiors.

Therefore, Qin Sifeng did not go in the direction of official career, but stayed in the frontline clinical work.

Dong Feng, who was the same age as him, entered the leadership of the hospital early on.

As a result, the gap between the two is getting bigger and bigger!
Dong Feng is now Qin Sifeng's direct supervisor, and Qin Sifeng can only be a professor in the department!
Does Qin Sifeng regret it?

This stubborn old man has no regrets at all!
Seeing that Lu Chen resembled him so much, he felt quite relieved.

However, since Lu Chen is his student, it is impossible for him to let Lu Chen go back to his old way.

Qin Sifeng was already planning in his mind, trying to pave the way for Lu Chen's future.

After all, he hopes that Lu Chen's future can go further than his own!
……

After these few days of "farce", Lu Chen took over the four beds again.

The two patients he admitted in the emergency department are still living in the hospital bed.

The diagnosis of the two is still unclear, but the symptoms of heart failure have mostly recovered.

In the past two days, although Lu Chen did not manage the bed independently, he also paid close attention to the changes in the condition of the two of them.

In the morning, Lu Chen was writing the medical record in the office.

Every patient here must write a difficult case discussion record.

This will take a lot of time for Lu Chen!
At this time, a little nurse suddenly trot into the doctor's office.

She glanced in a circle and found Lu Chen's location.

"Doctor Lu, your 18th bed suddenly felt flustered again, you should go and see her."

Hearing this, Lu Chen immediately stood up, "Okay, let's go right away!!"

The 18-bed patient is the girl named Lin Xinxin who was transferred from the emergency department.

Most of these diseases involving electrophysiology cannot be found out when there is no onset, so Lu Chen communicated with the patient again, and once the condition was unstable, he immediately called the doctor on duty.

This time, Lu Chen happened to be there.

He immediately pushed the electrocardiogram machine and went to ward 18.

……

Next to the 18-bed ward.

"Xinxin, what's wrong with you?" Lin Qiang was anxious.

Lin Xinxin's condition has stabilized in the past few days after arriving in the first area of ​​the heart. Why did she suddenly get sick again today?
"Dad, Dad, don't worry." Lin Xinxin put on a smile on her pale face, "I, I'm fine, the doctor will be here soon."

As soon as the words fell, Lu Chen walked in pushing the electrocardiogram machine.

While giving Lin Xinxin a physical examination, he gave various medical orders to the nurse beside him.

"Enable ECG monitoring, inhale oxygen!"

"Open another venous access for backup!"

After the physical examination, Lu Chen immediately gave Lin Xinxin an electrocardiogram.

Although the two are about the same age, they usually avoid it, but at this time, they can't care about other problems of these men and women.

When Lu Chen just finished the electrocardiogram, Lin Xinxin's symptoms suddenly eased.

These symptoms really come and go in a hurry!

However, fortunately, Lu Chen rushed to finish the electrocardiogram in the first place, leaving behind the changes in Lin Xinxin's electrocardiogram when he fell ill.

And, the effort is worth it!
This picture, which I managed to grasp with great difficulty, solved Ding Xinxin's doubtful diagnosis in one fell swoop.

"Basically consistent with the electrocardiographic manifestations of tricuspid valve depression. The first picture shows B-type pre-excitation, which comes from the accessory tract of the posterior septum."

"The second picture shows atrial flutter with right bundle branch block, intermittent pre-excitation (the few jumps of the long II lead-width QRS wave are pre-excitation transmission). The second picture is particularly interesting, all right bundle branch block There is no pre-excitation in the hysteresis..."

Every electrocardiogram before was done when Lin Xinxin was normal and not sick, so nothing abnormal was found.

"Doctor Lu, have you found the cause?" Lin Qiang looked excited, and turned to look at Lu Chen who was beside him.

Lu Chen didn't speak at first, he took the electrocardiogram in his hand and looked at it carefully.

Seeing his serious expression, Lin Qiang also slowly calmed down.

After a while, Lu Chen raised his head and said slowly: "Combined with the patient's previous echocardiography, the diagnosis should be tricuspid valve depression (Ebstein's malformation, also known as Ebstein's malformation)."

The incidence of tricuspid valve depression accounted for 0.03% to 1% of congenital heart disease, which is a rare congenital heart malformation.

Tricuspid valvular malformation is a downwardly displaced tricuspid valve that divides the right ventricle into an atrialized right ventricle and a functional right ventricle. Although it looks like a very large right ventricle, the atrialized right ventricle has a thin wall and contains a lot of fibers. tissue, the endocardium is smooth, and the myocardium is non-contractile.

This leads to the fact that the patient is very young, but the symptoms of heart failure are extremely severe!
"Congratulations, the thank you from Lin Xinxin is worth +1!"

"Congratulations, received the thank you from Lin Qiang +1!"

"Congratulations, the completion of the system upgrade has increased!"

When seeing these three prompts pop up on the system panel, Lu Chen was also a little happy.

Once this kind of high-quality difficult patient is diagnosed correctly, he will give thanks immediately.

Unlike the previous Ding Rongli, even after the operation for her, there is no "thank you" at all!

Although the original intention of treating diseases and saving lives is not for the "appreciation value" of patients, if they can receive gratitude values, it will still make every doctor feel happy.

(End of this chapter)