I can see health

Chapter 786 Epilepsy?

Lu Chen and Gu Xinyue are old partners.

After Jin Miao went to the cath lab, Lu Chen and Gu Xinyue formed a group.

The cooperation between the two is very tacit.

Gu Xinyue's clinical ability is also very good.

He has nothing to say about some common diseases.

As a doctor of cardiology, Lao Gu quickly adapted to the rhythm of Guanghai First Hospital.

"Lao Gu, why don't you try interventional surgery?"

Seeing Gu Xinyue's enthusiasm for clinical diagnosis and treatment, Lu Chen was puzzled.

A doctor in the Department of Cardiology is not complete if he does not know how to intervene in surgery.

When Gu Xinyue heard this, she smiled slightly, "To be honest, I'm really not interested in interventional surgery."

"Huh?" Lu Chen was quite surprised.

If it is a girl, it is not surprising to have such an idea, but Lao Gu is a boy, and all boys in the Department of Cardiology should try to perform interventional surgery.

"Do you remember the CCU I was in Jinghua Second Hospital?" Gu Xinyue asked again.

Lu Chen nodded, "Of course I remember, we were in a group at the time."

"At that time, I wanted to learn the technology of echocardiography, but no matter how I practiced and learned it, it was always slower than Fatty Cheng." Gu Xinyue said slowly, with a trace of helplessness and bitterness in his eyes, "Later, I slowed down. Slowly give up."

Lu Chen also recalled this past event. Gu Xinyue still vividly remembered the embarrassment of Gu Xinyue studying echocardiography.

"So you don't want to operate it because of this?" Lu Chen frowned.

"You can put it this way." Gu Xinyue smiled, "And the clinic is also very good, even without surgery, the disease can be cured!"

"Yes, it's good to have this idea." Lu Chen smiled.

His original idea was to let Gu Xinyue practice in the clinic for a period of time, and then arrange for him to go to the cath lab.

Whether it is TAVR surgery, coronary interventional surgery, or electrophysiological surgery, you can let Gu Xinyue try it.

After all, Gu Xinyue can be said to be Lu Chen's "direct line" army.

However, since Gu Xinyue doesn't want to have surgery, it's also good to stay in the clinic, and it's a good choice to find time to do scientific research.

In fact, there is another reason why Gu Xinyue did not choose interventional surgery.

That's because when he was in Kyoto, his superiors blamed him for the failure of the interventional operation, which led to his resignation.

……

a month later.

The TAVR team of Guanghai No. [-] Hospital, headed by Lu Chen, officially entered the stage of independent surgery.

The five doctors under Lu Chen, including Jin Miao, can all perform TAVR surgery independently.

They all have the basis of coronary intervention, so it is quite fast to learn TAVR technology.

However, what they can do is the simplest TAVR operation, and it requires Lu Chen's supervision.

For a slightly more difficult operation, Lu Chen had to do it himself.

Even so, it has been able to solve a lot of time for Lu Chen.

The current TAVR surgery is still mainly performed by general surgery.

Everyone in the surgical team can get the best exercise.

Lu Chen has not been in Guanghai No. [-] Hospital for a long time, but the changes he brought to the Cardiology Department of the hospital are visible to the naked eye!

Gu Xinyue has gotten used to the cardiology environment of Guanghai No. [-] Hospital, and officially became the attending doctor under Lu Chen.

"Director Lu, here comes a difficult patient, come and take a look!"

In the department, Gu Xinyue called Lu Chen Director Lu, but in private she still called her by her original name.

"Okay, I'll be right over here."

……

Lu Chen put down the application for the National Natural Science Project in his hand.

He has finished writing the tender, and now he just waits for the final review.

Come to the ward.

Gu Xinyue arrived with the graduate students in the group.

In the ward, a man in his 30s was lying on the bed.

The health on his head is 64 (--).

From the outside, the patient does not have any uncomfortable symptoms.

"The director is here." Gu Xinyue saw Lu Chen walking in and greeted him.

"What's the patient's condition?" Lu Chen immediately asked.

Lu Chen has gotten used to his status as a superior doctor, and he usually looks at patients with strict eyesight.

Gu Xinyue organized the conversation and handed the patient's medical records to Lu Chen.

"The patient is 35 years old. About 3 years ago, there was no obvious cause, he became unconscious and couldn't respond. At the same time, his limbs were stiff and convulsed. At that time, the family was very scared and sent to the hospital, but no problems were found."

"Two months ago, the patient had another seizure. He underwent a series of brain MRI, CT and other examinations, but found nothing wrong. He was diagnosed as epilepsy in another hospital."

"But less than two months after returning home, the illness relapsed and he came to our hospital."

Lu Chen nodded slightly.

He already knew the general condition of the patient.

This is a patient who is unconscious for unknown reasons.

"Doctor, my husband was working in the factory this morning and suddenly fell ill."

Standing next to the ward was the patient's wife, dressed very plainly and speaking substandard Mandarin.

"If the factory friend wasn't there, maybe something really happened."

As he spoke, the patient's family members were still crying.

Lu Chen nodded, and quickly signaled the patient not to get excited, "What happened when the patient first got sick? Can you tell me more about it?"

"En." The patient's wife nodded and began to slowly tell about the patient's illness and the process of seeking medical treatment.

Similar to what Gu Xinyue described before, every time the patient had a seizure, he was unconscious, his limbs twitched, and after waking up, he lost any memory.

I went to the hospital to see a doctor many times, and checked the brain CT, MRI, EEG and so on.

A mildly abnormal EEG was detected last time, and the diagnosis was epilepsy.

What is epilepsy?In fact, it is epilepsy among the rural population.

Patients will suddenly faint, fall to the ground, convulse, and foam at the mouth. It looks scary, but it is actually the result of abnormal discharge of brain nerves.

Existing cranial CT and MRI can not find lesions, only some patients can find abnormalities when doing EEG.

After the last discharge, the patient took some antiepileptic drugs, mainly sodium valproate.

But not long after being discharged from the hospital, the condition relapsed!

"We don't think it's a problem to go on like this!" The patient's wife said helplessly, "He is the breadwinner of the family, and he is sick, which affects his work. Many bosses at construction sites are afraid to ask him to work when they hear that he has this disease. "

Lu Chen gave the patient a very detailed physical examination.

Auscultation of both lungs and heart, abdominal examination, and nervous system examination are all normal!
Is it really epilepsy?

When Lu Chen thought of this, the system didn't give any hint.

It does not seem to be the diagnosis!

After so many years of using the system, Lu Chen has been able to know the urine nature of the system.

If the diagnosis is correct, you will definitely upgrade your corresponding system!
……

Go back to the doctor's office.

Everyone sat together, Gu Xinyue thought about it, and said first: "Could it be some kind of arrhythmia? For example, paroxysmal ventricular tachycardia and so on."

The neurological symptoms caused by arrhythmia are called Aspen syndrome.

Because severe arrhythmia may not be able to continue to pump blood, the brain is severely ischemic in a short period of time, resulting in brain dysfunction, so there will be convulsions and disturbance of consciousness.

"Arrhythmia?" Lu Chen also saw a similar patient when he was in the capital.

At that time, the patient had neurological symptoms caused by arrhythmia!

But when he thought of this diagnosis, the system still didn't give any hint!

"It seems that this is not the diagnosis." Lu Chen frowned.

Neurological examination was normal.

So what could it be?

(End of this chapter)