Chapter 415 Missing Inspection Items

Remember [New] in one second!     Kyoto University First Affiliated Hospital, Cardiology Department Catheterization Room.

This is Lu Chen's second time here.

He will stay in the catheterization room for the next month.

All electrophysiological surgeries that Lu Chen has participated in will be recorded in detail, including the completion, difficulty and number of surgeries.

"Lu Chen, you were actually assigned to our catheterization room?!"

There happened to be a coronary intervention surgery today. After Fang Ruzhang came to the catheterization room, he happened to see Lu Chen.

"Yeah." Lu Chen just changed into surgical clothes and was following his instructor, Xiao Shikang, the surgeon in the first stage of the assessment.

"That's great. If you have any questions later, I'll come and ask you." Fang Ruzhang had seen Lu Chen's level and admired him very much.

That epicardial premature ventricular ablation, ordinary people really can't learn it.

"Are you here for coronary intervention?" Lu Chen watched Fang Ruzhang push the patient to the coronary intervention catheterization room opposite.

"Yes, a patient on my bed." Fang Ruzhang smiled, "But it wasn't me who did it, it was Director Wan. This is a leader in the city, so Director Wan did it himself."

"Director Wan did it himself?" Lu Chen smiled, "I guess Director Wan rarely performs surgery now."

Fang Ruzhang spread his hands, "No way, the leader asked us to do it, we can't do it."

In fact, professors of Director Wan's level rarely perform surgery in person, and most of their energy is focused on scientific research or administration.

It would be better to let some deputy directors or senior attending doctors in the department do it, and the effect of the surgery might be better.

After all, these doctors have been working on the front line for a long time and have acquired a lot of skills.

Lu Chen and Fang Ruzhang chatted for a while, and when they saw Director Wan Jingshui coming to the catheterization room, they said hello and left.

...

Currently, there are a total of eight operating rooms in the catheterization room, including six coronary intervention rooms and two electrophysiology intervention rooms.

This is after the price of heart stents was reduced, and an electrophysiology intervention room was temporarily added (electrophysiology equipment has not yet been reduced in price).

With the price reduction of domestic heart stents, the popularity of coronary intervention is gradually fading.

Many new cardiologists hesitate between coronary artery and electrophysiology. In the past, most of them would choose coronary artery intervention.

But now, more and more people are learning electrophysiological intervention.

This is also driven by profit.

Doctors are also normal people, and they will definitely go to places with more money.

Therefore, high-risk departments, such as emergency departments and pediatrics, have a large number of vacancies every year.

Lu Chen's current job is very simple, waiting for electrophysiological surgery.

As long as there is an electrophysiological surgery, he will have the opportunity to go on stage as an assistant.

When there is no surgery, he studies in the catheterization room.

Most of the electrophysiological surgeries are routine surgeries, except for a small number of surgeries that require the installation of temporary pacemakers.

"Lu Chen, there is no surgery today, but two are scheduled tomorrow. One is for a patient in the third zone of the heart, and it seems that one needs a pacemaker. The other is for a patient in the fifth zone of the heart, who needs radiofrequency ablation of atrial fibrillation. You will go to evaluate it later." Xiao Shikang came to Lu Chen and brought him a medical record folder.

Any patient who needs surgery needs to undergo comprehensive preoperative preparation.

The most important point is to determine whether there is an indication for surgery. In simple terms, it depends on whether the patient needs surgery.

"Oh, OK." Lu Chen nodded and took the medical record folder and read it carefully.

A pacemaker, as the name suggests, is a machine that helps the heart beat.

When the heart is diseased and beats slowly, there is a problem with the heart pumping blood, and blood cannot enter other organs in the body, such as the liver, kidneys, and brain. The various organs are ischemic and hypoxic, which causes multiple organ failure and even sudden death.

At this time, external help is needed to place a device in the heart to help beat and maintain normal blood supply to various organs. This is called a pacemaker.

There are many reasons for bradycardia, the most common of which are coronary heart disease, electrical conduction system disorders, endocrine diseases, and intracranial hypertension. In addition, there are some drug-induced bradycardia.

"Teacher Xiao, I'll go to the third area of ​​the heart to see this patient." Lu Chen looked through the medical records and didn't have much useful information.

"Okay, go ahead. You need to see the patient in person." Xiao Shikang nodded slightly.

Lu Chen changed out of his surgical gown, put on a brand new white coat, and then put on a shoe cover on his Crocs, and took the elevator to the third cardiac area.

...

Third cardiac area.

Yao Jie was sitting in the office, writing medical records for the patients she was in charge of.

"Junior sister, I have already admitted the patient just now for you, you don't have to go." Wu Lang walked to Yao Jie with a smile, "This is a patient with bradycardia. It seems that he is here to have a permanent pacemaker. I have contacted the teacher in the catheterization room. When the time comes, you can talk to the patient and his family about the risks of the operation."

"Okay, thank you, Senior Brother Wu." Yao Jie said.

Since Wu Lang knew that Yao Jie had a boyfriend, he was depressed for a few days, but then he thought about it. He is from Beijing, and a long-distance relationship will not last long.

He stayed by Yao Jie's side every day, and there would be a chance one day.

After all, the one who is close to the water gets the moon first.

At this time, Lu Chen came to the doctor's office in the third area of ​​cardiology.

"Excuse me, who is the doctor in charge of the twenty-three patients?"

When Yao Jie heard this familiar voice, she turned around in surprise and saw that it was indeed Lu Chen.

"Senior brother, you...why are you here?"

Wu Lang was stunned. Damn, what happened to Lu Chen?

He quickly moved away from Yao Jie.

Lu Chen smiled and said: "I have been in the cath lab of your hospital recently, the twenty-three bed..."

"Oh, bed 23 is a new patient. I'm in charge of the bed." Yao Jie quickly looked at the inpatient interface.

"Well, this seems to be a permanent pacemaker for the heart. I'll go check on him." Lu Chen said.

"I'll go with you." Yao Jie stood up immediately.

…

Come to bedside No. 23.

Lu Chen looked at the patient, who was a sixty-five-year-old mother-in-law.

Her electrocardiogram showed sinus bradycardia. When she was not active, her heart rate was only 30-40 beats/min.

"Do you usually feel dizzy or faint?" Lu Chen asked.

The old woman paused and said, "I haven't fainted, but I often feel dizzy, and sometimes my eyesight goes black, and I'll be fine in a few seconds."

Lu Chen nodded slightly. This symptom of dizziness is caused by too slow heartbeat, insufficient blood pumping, and insufficient blood supply to the brain.

"There are obvious symptoms. Preliminary inspection shows that a pacemaker is needed." Lu Chen said to Yao Jie.

"Well, senior brother, I will discuss the risks of surgery with the patient later." Yao Jie nodded slightly.

"Don't worry yet." Lu Chen waved his hand, "We need to complete the pre-operative examination first..."

Before Lu Chen finished speaking, the mother-in-law on the hospital bed said, "Doctor, I've already done it at the hospital down there, so there's no need for any more blood tests."

"Did it in a tertiary hospital?" Lu Chen asked doubtfully.

"Well, it's a tertiary hospital." The mother-in-law nodded, and then took out a stack of test sheets from the bag she carried with her.

Lu Chen took the test form. The hospital name on it was indeed a tertiary hospital.

At this time, Yao Jie also said from the side: "Brother, the superior teacher said that if it was checked in other hospitals, we don't need to check again here."

Lu Chen nodded and did not reply. Instead, he looked through the patient's test sheets carefully.

A long while.

Lu Chen still shook his head and said to his mother-in-law on the hospital bed: "No, we still need to check the blood! The tests on these test sheets are not perfect enough. We need to check a few more tubes of blood."

Upon hearing this, UU Reading www.uukanshu． net The mother-in-law immediately became unhappy, "I'm here just for surgery, why are you checking my blood? Just wait, my son went out to park the car, I called him to come over."

Lu Chen smiled helplessly, it was useless to ask anyone to come over!

"Okay, your son is here, ask him to go to the office and stand by me." Lu Chen said, and then he and Yao Jie left the ward.

"Brother, didn't you tell me, does this patient have any indication for surgery?" Yao Jie asked in a low voice, "She has already done all these examinations, why do she still need to do it?"

Lu Chen paused and frowned: "What I'm saying is that initially, a pacemaker is needed, but we need to rule out other causes of the disease. Didn't you see the test sheet that the patient brought with him?"

"No..." Yao Jie whispered.

"Not to mention anything else, there is a very important test missing." Lu Chen handed the patient's own test sheet to Yao Jie, "Do you know what it is?"

Yao Jie took the test sheets, looked through a few of them, and wondered, "What's missing?"

Lu Chen's eyes narrowed and he said, "Thyroid function."