Chapter 627: Unpleasant Electric Shock
Because Lu Chen had just arrived in Shanghai, Zhang Shuqing did not let him join the department immediately.
Instead, he gave Lu Chen a few days off. After he got familiar with the hospital environment, he would officially join the department next Monday.
Taking advantage of this time, Lu Chen, under the guidance of Ke Yue and Dong Hao, quickly visited the entire First Affiliated Hospital of Shanghai University and became familiar with the locations of various clinical departments.
…
Monday came quickly.
Lu Chen put on a new badge and came to the doctor's office of the Second Department of Cardiology.
From a master's degree to a doctor's degree, Lu Chen not only changed his identity, but also his responsibilities.
When Lu Chen was rotating in Jinghua Second Hospital, he was only a master's degree, equivalent to a resident doctor, but he was still a student in essence and had no right to issue medical orders independently.
Now, Lu Chen is a doctoral student and is rotating in the department. He has been used as an attending physician. (Two years after graduating from a master's degree, you can take the exam for attending physician)
Attending physicians can already manage beds independently and issue medical orders independently.
Lu Chen's power has officially been upgraded!
In the doctor's office.
Zhang Shuqing introduced the current members of the team to Lu Chen.
Senior doctor Zhang Shuqing, attending doctor Yu Bin, several graduate students and trainees.
Lu Chen's arrival added an attending doctor to the team.
"Lu Chen, you and Yu Bin will divide the beds in our team together." Zhang Shuqing looked at Lu Chen, and then said to Yu Bin, "You will divide the beds with Lu Chen later and give them to Lu Chen's students."
"Okay." Yu Bin nodded slightly.
Lu Chen's arrival also liberated his labor.
He can concentrate more on preparing for the doctoral entrance examination next year.
After Zhang Shuqing gave the order, Yu Bin said to Lu Chen: "Doctor Lu, which beds do you want?"
As he said that, Yu Bin took out the bed arrangement table of the team.
Lu Chen smiled and said, "Listen to Brother Yu's orders."
Yu Bin graduated from a master's degree program and has worked for four or five years. It is not wrong to call him Brother.
"Okay." Yu Bin said, "Then we will divide it equally. You take care of the first ten beds, and I will take care of the last ten beds."
"No problem."
Lu Chen had no objection to managing patients.
"In addition, there are currently six students in the group, and we each have three."
Three students were assigned to Lu Chen's group, one boy and two girls.
One of the girls is a master's student at Magic City University, rotating in the Department of Cardiology, and the other two are interns at the Magic City University Medical School.
...
After Zhang Shuqing gave his instructions, he left. He had to go to the outpatient clinic this morning.
Lu Chen and Yu Bin started their ward rounds today.
This was the first time that Lu Chen participated in the ward rounds as a senior physician, and his mood was very different from before.
He felt that the burden on him was very heavy!
"Let's go, let's go to the ward rounds together."
Lu Chen walked in front, followed closely by three students.
He was about to enter the ward when the female graduate student Ji Yingying in the group suddenly said, "Brother, the family of the patient in bed 10 in our group is very difficult to talk to. You should be careful."
"Huh?" Lu Chen frowned, "The family members have a bad temper?"
Ji Yingying nodded, "Last week, every time we made rounds, the patient's family members would argue with Teacher Yu."
"Okay, thank you, junior sister, I understand."
Having seen many difficult patients in the clinic, Lu Chen was not nervous and walked into the ward with three students.
...
In the ward.
On bed 10, there was a female patient about 50 years old.
A middle-aged man sat beside the bed, playing a short video with external sound.
When he saw Lu Chen and others coming in, he didn't say anything, nor did he turn off his phone, and continued to watch his own videos.
Lu Chen walked to the other side of the patient's bed without making a sound.
Before the rounds, he had a simple understanding of the patient's condition.
The patient was a 49-year-old female with a history of hypertension and duodenal ulcer.
She was admitted to the hospital because of "intermittent palpitations for 4 years, which worsened for 1 day."
"Auntie, are you feeling better today?" Lu Chen asked as usual.
Before the patient could speak, the patient's family members beside him became impatient, "Why do you ask every day?! Come up with a solution? The doctor in charge has changed again today?"
"Uncle, don't be anxious." Lu Chen patiently comforted, "I am a doctor in Director Zhang's group. You can tell me if you have any questions."
The man calmed down a little and frowned, "Okay, I'll tell you, my wife has been in the hospital for three or four days, and your hospital hasn't come up with a good solution yet!"
Lu Chen was about to reply, and Ji Yingying beside him took over the conversation and whispered, "Brother, this patient was diagnosed with VT (ventricular tachycardia) before, and it was recommended that the patient undergo ICD treatment, but the patient refused."
"After that, the patient repeatedly visited the doctor for palpitations, and all of them were treated with electrical cardioversion."
Lu Chen nodded slightly, "Thank you, I understand."
At this time, the man shouted, "Don't tell me about surgery anymore, we said we won't do it! My wife is so young, if this thing is installed, how inconvenient it will be in the future!"
The man kept glaring at Ji Yingying.
It is estimated that he wanted to vent all the resentment he had for so many days.
The little girl shrank her head and took a step back in fear.
Seeing this, Lu Chen quickly stepped forward and walked between the family members and Ji Yingying.
"Uncle, I understand your anxiety." Lu Chen comforted, "Calm down now, we can discuss it together, it's all for the patient's own disease."
The man glared at Ji Yingying, then looked at Lu Chen without saying a word.
...
Lu Chen turned around and began to examine the patient.
Although the diagnosis of "ventricular tachycardia" was clearly recorded in the medical record, Lu Chen did not believe it all at once.
Watching Lu Chen carefully examine his wife, the man stopped having an attack, but turned off his phone and stood quietly aside.
After the examination, Lu Chen asked: "Auntie, do you feel uncomfortable every time you have an attack?"
"It's just panic, I always feel like my heart is going to jump out." The patient said.
Lu Chen frowned and said: "Are there any other discomforts? For example, dizziness, fainting, etc."
The patient thought carefully, then shook his head, "No."
Lu Chen did not speak, took the medical record from Ji Yingying's hand, and began to read it.
There are two electrocardiograms in total, UU reading www. uukansu.net came into view.
The first electrocardiogram was taken when the patient's symptoms occurred, showing wide QRS tachycardia.
The second electrocardiogram was taken after cardioversion, showing sinus rhythm.
At first glance, it was really VT (ventricular tachycardia)!
"Doctor, I'm really afraid of being electrocuted now!"
At this time, the patient said again.
"Every time I was electrocuted, the feeling was too scary." The patient's face showed unspeakable fear.
Lu Chen knew that it was extremely painful for a person to be electrocuted when he was awake.
And this patient had experienced this "electric shock" many times in the past four years, not just once or twice.
"I'm afraid of this disease now, and I don't dare to do too much physical work."
.