I can see health

Chapter 73 Myocardial Ischemia at Ten Years Old
After dinner.

The roommates all returned to the dormitory one after another.

Lu Chen first put aside the training of pericardiocentesis skills.

Continue to start solidifying your knowledge of the EKG and heart anatomy.

The knowledge of these two fields is the foundation of cardiovascular, but it is also the most important.

At present, two major surgical operations in the Department of Cardiology, whether it is coronary intervention or electrophysiology, require the operator to have a solid knowledge base of ECG reading and cardiac anatomy.

Lu Chen will definitely be exposed to interventional and electrophysiological surgery in the future.

As the saying goes, sharpening knives does not fail to chop woodworkers.

Now Lu Chen is hurrying up to prepare for the future.

……

When it's time to sleep at night.

Lu Chen closed his eyes and lay on the bed.

Only then began to continue the training of pericardiocentesis technology.

After two hours of training, Lu Chen became more and more familiar with the operation of pericardiocentesis.

"Congratulations, the pericardiocentesis skill completion rate is 64%!"

In two hours, the completion of the skill was directly increased from 18% to 64%.

However, it is very difficult to continue to improve and complete.

It takes a lot of time to go from "familiar" to "proficient".

That's all for today, Lu Chen slowly fell asleep.

……

Silent all night.

The next day.

The first thing Lu Chen did when he woke up in the morning was not to touch the phone by the bedside.

Instead, let's draw a lottery!
This has become a habit of his.

Lay a solid foundation for the "air luck" of the whole day.

"Draw a lottery once, consume 1 thank you point! The total thank you value is 1 points."

The expected "thank you for your patronage".

Only then did Lu Chen take out his phone and look at today's almanac.

"Everything is wrong!"

It seems that today I have to play it safe, and I can't draw a lottery for the time being.

……

Come to the department.

Just put on a white coat and sit in the office.

Lu Chen saw an "acquaintance" hesitating at the door of the office.

He is the family member of the 20-bed young myocardial infarction patient.

"Doctor Lu, you are coming to work."

Zhang Jun walked into the office with a smile.

"Uncle Zhang, you are..."

Lu Chen glanced at Zhang Jun strangely.

The patient himself should be in the CCU at present, how did the family members go back to the eighth district of their hearts?
"Doctor Lu, it's like this. My son's condition is stable, and I want to transfer back to the general ward today." Zhang Jun said, "The cost of the intensive care unit downstairs is too high, and our family can't afford it."

Lu Chen frowned.

Patients with myocardial infarction like this have a high risk of sudden death.

Moreover, the patient has only been in the CCU for less than a few days, and the risk of being transferred back to the general ward in such a hurry increases a lot.

"Uncle, the matter of the transfer is that the CCU doctor downstairs will see if the transfer can be made after the doctor judges the condition." Lu Chen said, "It's not that we can transfer as soon as we say we can."

"Hey, I know." Zhang Jun smiled, "I won't embarrass you, I have signed a guarantee with the CCU doctor, if there is any problem, we will be responsible for the consequences. After you go to work, my son will be transferred from the CCU. Come up."

Lu Chen has nothing to do with this family.

They all voluntarily signed and are willing to bear all risks.

"Uncle, then you just wait for the formalities to be handed over."

The procedures for transferring from the CCU to the general cardiology ward are fairly simple, since they both belong to the Cardiology Department after all.

Just finished a class.

Lu Chen heard the head nurse shout:
"The doctors in the director's group paid attention. The patient Zhang Guangming went to the CCU a few days ago, and he will be transferred back later."

"Understood." Sun Guoguo replied, and then said to the little friends in the group, "Today everyone cheer up and prepare for a big fight."

Half of the hospital beds in the director's group are empty today.

According to the patient flow of the Cardiology Department of Jinghua Second Hospital, as many people are discharged from the hospital, as many people are hospitalized on the same day.

There are a lot of patients to be treated today.

Before the ward rounds were finished, doctors and nurses from the CCU came pushing the beds.

Zhang Guangming was lying on the bed with various instruments tied to his body.

He looked a little decadent, and he had long since lost the "fearlessness" he had when he first arrived at the hospital.

"A total of three stents were implanted in the patient. The IABP was just removed yesterday. His vital signs are stable and his general condition is not bad. The main thing is to pay attention to re-examination of ions, maintain a stable internal environment, and avoid recurrence of acute heart failure."

The CCU doctor and Sun Guoguo simply handed over their shifts, and then pushed the hospital bed downstairs again.

This time, Zhang Guangming was still on bed 20.

"Boy, did you put the bracket?"

The bed next to him was still the same old man.

At the beginning, Zhang Guangming discussed with the old man "wait for the price of the bracket to drop before installing the bracket".

"En." Zhang Guangming nodded slightly.

Zhang Guangming's face turned red when he thought of his remarks of "waiting for the price of the bracket to drop".

If there was a crack in the ground, he would have slipped in.

……

"Zhang Guangming, how do you feel now?"

Sun Guoguo led everyone in the group to the bedside.

Zhang Guangming opened his eyes and nodded.

"This time, you must remember to defecate next to the bed and not get out of bed by yourself!"

Sun Guoguo asked sternly.

"Ah."

This time, Zhang Guangming was very obedient and cooperated with all the treatments of the doctors and nurses.

Walking around the gate of hell, he was really a little scared.

"Doctor Sun, what else do I need to pay attention to? For example, in terms of diet, tell me about it."

"Let Dr. Lu talk to you later," Sun Guoguo said.

Currently, Lu Chen is in charge of the Patient Mission Society.

Precautions for patients during hospitalization are very important points in patient education.

It is most suitable for Lu Chen to do it.

"okay."

Zhang Guangming glanced at Lu Chen with anticipation in his eyes.

……

Next, Lu Chen carefully popularized with Zhang Guangming the relevant health education knowledge for patients with myocardial infarction.

Zhang Guangming listened very carefully.

"Doctor Lu, can you write all these things down on paper? I can't remember if you talk too much."

"Well, good." Lu Chen nodded.

During the last mission meeting, there were still many leaflets left.

Among them happened to be a health education leaflet for patients with myocardial infarction.

"Congratulations, I got +1 from Zhang Guangming!"

As soon as the voice fell, a prompt from the system was received.

And successfully harvested a little thank you value!
……

After dealing with Zhang Guangming's matter, Lu Chen also started to receive patients.

Qu Yao, a trainee doctor in the group, doesn't usually treat patients, and Sun Guoguo takes care of her patients.

She basically came to the department occasionally, just for a cutscene.

All the patients were basically taken in by Dong Hao, Lu Chen, Jiang Qingyan and Ke Yue in turn.

The other two intern doctors helped measure blood pressure and do electrocardiograms.

The patient Lu Chen admitted was a middle-aged man who came for a physical examination.

It seems to be the father of a nurse in Corey.

This patient doesn't have any gold content, just simply write a record of the course of the disease.

"Lu Chen, help me take a look at this electrocardiogram."

A female voice came from beside the ear.

Lu Chen subconsciously thought it was Ke Yue, but it didn't feel right.

Looking back, I found that Jiang Qingyan came to the side and handed over an electrocardiogram.

"Oh, good."

After receiving the electrocardiogram, Lu Chen looked at it intently.

This ECG is very simple.

ST-segment depression was evident in leads II, III, avF, and V4-V6.

It is a typical manifestation of myocardial ischemia.

With Jiang Qingyan's ability, she should be able to interpret this electrocardiogram!

Is there something else that he didn't see?

Observed carefully for a while.

Still nothing out of the ordinary.

Lu Chen looked up at Jiang Qingyan.

"The ST-segment depression in leads II, III, avF, V4-V6 is obvious, myocardial ischemia?"

Jiang Qingyan frowned and said, "The patient is 10 years old."

(End of this chapter)