MTL - I Can See Health-v3 Chapter 900 eighteen year old

   Chapter 900 Eighteen-year-old Flower Season

   After not working in the clinic for a long time, Lu Chen came to the ward again to check on the patients, and Lu Chen felt a long-lost sense of familiarity.

   The blood on his body seemed to be boiling.

   Sure enough, he still prefers to work clinically.

   Recently, the affairs of Yunhua and the Fifth Academy of the Magic Capital have consumed him too much energy.

   Now all aspects of the Fifth Academy of the Magic Capital have gradually stabilized.

   Next, Lu Chen will turn his focus back to clinical and scientific research.

   "Director Lu, I have another patient here." Gu Xinyue said with a smile, "I seem to be a fan of yours, so I came to see you specially."

   "The condition is very difficult?" Lu Chen laughed.

   "This... it's alright." Gu Xinyue paused, "You'll know it when you see it."

   "Okay, let's take a look together."

  Lu Chen took Gu Xinyue and Jin Miao to another ward.

   Behind them, followed by a group of doctors, including attending doctors, residents, and some interns.

   is like in the TV series.

  Lu Chen stood alone in front and led the majority to the patient's room.

  Gu Xinyue handed the patient's medical records to Lu Chen, while introducing: "Patient, female, 18 years old.

   "Admitted to hospital due to repeated syncope for 1 month."

   "The patient had sudden heart palpitations 1 month ago, collapsed to the ground a few seconds later, lost consciousness, accompanied by convulsions of the limbs, without turning up his eyes, without foaming at the mouth, and woke up on his own after about 15 seconds."

   "I have seen a doctor in a local hospital. The details are unknown, and the effect is not good. Similar situations occur every three times and five times, and the frequency is more and more frequent. In the past 1 day, I have repeated syncope 5 times."

   Having said that, Gu Xinyue paused and added a past history.

   "The patient underwent surgical thoracotomy for ventricular septal defect when he was 5 years old, 13 years ago."

  Lu Chen nodded, already deducing various situations in his mind.

   A group of people entered the ward.

   The family members who were accompanying him in the ward were also startled.

   "Family, this is Director Lu Chen of our Cardiology Department."

  Gu Xinyue quickly told the patient's family.

   "You are Director Lu!"

   The patient's family member is a middle-aged man, who seems to be the patient's father.

   He was very humble towards Lu Chen.

   "Well, hello." Lu Chen nodded and said hello to the middle-aged man.

   "Director Lu, it was Director Zou Yi who asked me to come to you." The middle-aged man directly stated his intention, "He said that you might have a chance to keep my daughter from putting a pacemaker here."

  Lu Chen raised his brows, put on a pacemaker?

   For an 18-year-old girl who has a permanent pacemaker, she will face many problems in the future.

  For example, battery replacement may lead to problems, and bag infection problems, etc., must be treated with caution.

   Therefore, a differential diagnosis must be made, taking into account all possibilities.

  If the cause is reversible, permanent pacemaker installation can be avoided. For example, atrioventricular block caused by acute viral myocarditis may be reversible.

  Gu Xinyue took out the patient's electrocardiogram at this time.

   There are three ECGs in total.

  Lu Chen picked it up and stared at it.

   Sure enough, it was three copies of the electrocardiogram of atrioventricular block.

   "Let me see the patient first."

   It is hooliganism to look at the electrocardiogram alone from a clinical patient.

  Lu Chen walked over to the girl.

   Begin to ask the relevant medical history carefully.

   includes the symptoms, causes, and processes of the first onset, as well as the duration and relief methods, etc.

  Lu Chen's consultation was very careful.

After the    question, it is a physical examination.

   The patient's physical examination results showed that breath sounds were clear in both lungs, and no wet rales were heard in both lower lungs.

   The heart circle is not enlarged, the heart sounds are acceptable, the rhythm is irregular, no murmurs are heard, and there is no edema in the lower extremities.

   took back his stethoscope, and everyone looked at Lu Chen curiously.

   For this patient, the opinion of the outside hospital is to put a pacemaker.

  The diagnosis results of other top hospitals in Magic Capital are all syncope caused by atrioventricular block.

   Director Lu Chen, will there be different opinions?

   "Doctor Gu, what do you think about these three diagnoses?" Lu Chen said.

  Gu Xinyue has been studying this ECG for a long time.

   He said without hesitation: "I'm currently considering a first-degree atrioventricular block, a high-grade atrioventricular block, and a complete right."

   "Well." Lu Chen nodded, "According to your opinion, this patient must be fitted with a pacemaker?"

  Gu Xinyue did not deny, "Almost."

   When the patient's family heard this, their expressions became very ugly, "Director Gu, my daughter is only 18 years old this year, you can think of a way, I beg you!"

   There was a hint of pleading in the voice of the family members.

   If it wasn’t for this glimmer of hope, the family would not take the patient to seek medical treatment. Finally, after listening to Zou Yi’s advice, they came to the Fifth Hospital of the Magic Capital.

The family seemed to have thought of something, and turned to look at Lu Chen, "Director Lu, I heard Director Zou Yi say that one of his nephews was given an ultimatum by all the hospitals to install a pacemaker. "

   "But in the end, it came to you. You helped him solve the problem, found the cause, and finally got rid of the implantation of a permanent pacemaker."

   No wonder the patient's family finds the Fifth Hospital of the Magic Capital!

   At the beginning, Lu Chen helped Zou Wei find the cause of the atrioventricular block and prevented him from implanting a permanent pacemaker.

   "Family, don't get excited yet." Lu Chen said sternly, "We are analyzing the condition and helping you solve the problem. If it is possible not to put the pacemaker, we will definitely not put it."

  The family members were relieved a lot when they heard the words.

  Lu Chen originally wanted to analyze his condition in the ward, but now it seems that he can't.

   The family members of this patient are an uncertain factor, which is very likely to interfere with the analysis of the condition.

   "Doctor Gu, let's go back to the office to discuss first." Lu Chen said to Gu Xinyue, then looked at the family members beside him, "When we have the results, I will tell you the final diagnosis and treatment plan."

   "Okay, then I will trouble Director Lu."

  Although family members would like to hear the discussion process, this kind of disease analysis is generally not open to the public, and will only give the patient a final result.

  …

  Lu Chen took the group and returned to the teaching room of the Cardiology Department.

   All doctors are gathered together except the doctor on duty.

  Gu Xinyue, as a doctor in charge of the bed, introduced the patient's condition again.

   "We consider a high degree of atrioventricular block, caused by cardiac syncope, this patient must have a pacemaker." Gu Xinyue reiterated her point of view.

  Everyone in the audience turned their attention to Lu Chen.

  Lu Chen did not answer this question directly, but instead asked, "The patient's symptoms will be put aside for now. I think, the diagnosis of these three electrocardiograms is over so quickly?"

   All the doctors were shocked when they heard Lu Chen's words.

   Isn't this electrocardiogram exactly what Gu Xinyue said about the high atrioventricular block?

   Is this another diagnosis?

  Looking at Lu Chen's confident appearance, Gu Xinyue refocused her attention on the three ECGs.

   (end of this chapter)