Chapter 636: Self-Confidence Destroyed!

Jiao Jingqiu pursed her lips, still unwilling to give up, "Then for this kind of arrhythmia, is there a problem with implanting a pacemaker?"

The basic heart rate is only 37 beats/minute, which is a slow arrhythmia. Is there a problem with implanting a pacemaker?

"There is a problem!" Lu Chen said, not caring about the shocked expressions of the crowd, and continued: "Assuming that a pacemaker is implanted, the patient is in sinus rhythm, and a dual-chamber pacemaker should be implanted. Its working mode is atrioventricular universal pacing (ddd), which senses the electrical activity of the atrium and triggers the electrical activity of the ventricle. The atrial early failure to transmit will be converted into ventricular pacing."

"The patient is likely to feel uncomfortable due to the increased heart rate and frequent ventricular pacing!"

Lu Chen's words were firm, and he directly pointed out the inappropriateness of "implanting a pacemaker"!

Everyone present was silent.

A few minutes ago, everyone's opinion was surprisingly unified, and a pacemaker needed to be implanted!

But now... I'm slapped in the face!

The speed of slapping in the face is so fast!

Jiao Jingqiu had nothing to say. She glanced at Lu Chen and sat down silently.

Lu Chen continued to strike while the iron was hot and said, "The correct treatment for this patient should be ablation!"

"Ablate the premature atrial contraction! The compensatory interval will disappear, and the patient's heart rate should increase!"

...

At this time, everyone in the demonstration room looked at Lu Chen with amazement in their eyes.

Except for the people in the second area of ​​cardiology, who knew Lu Chen, everyone else was secretly wondering when such an outstanding young man came out of the cardiology department of the First Hospital of Magic City!

On the podium.

Liu Jun and Zhang Shuqing had bright smiles on their faces.

Liu Jun smiled because Lu Chen solved his problem.

Zhang Shuqing smiled because he felt a little proud of Lu Chen's excellence!

"Okay, let me make the final summary below." Liu Jun put away his smile.

He looked around the classroom and said in a loud voice, "If the heart rate is slow, does it not necessarily require a pacemaker to be implanted?"

"To solve the problem, it is often the most effective to start from the source and find the fundamental cause of the slow heart rate!"

As soon as the voice fell.

A series of prompts popped up in Lu Chen's system panel.

"Congratulations, received a thank you value of +10 from Liu Jun!"

"Congratulations, received a thank you value of +5 from Zhang Shuqing from Liu Jun!"

"Congratulations, received a thank you value of +5 from Qin Feng!"

"..."

Because everyone present had senior titles, the thank you value for Lu Chen also increased accordingly.

There were seventy or eighty people present, and Lu Chen almost got more than three hundred thank you points!

"It seems that this kind of case discussion should be more, the better!" Lu Chen thought to himself, this kind of benefit is equivalent to working in the clinic for many days.

The case discussion ended.

Everyone slowly left the stage, and while leaving, they also noticed Lu Chen, the young man who showed up today.

"Lu Chen, wait a while before going back!" Zhang Shuqing stopped Lu Chen who was about to leave.

"Okay." Lu Chen was about to go back to write today's medical records, but seeing this, he could only sit down silently.

Jiao Jingqiu glanced at Lu Chen, said nothing more, and left.

Today, her self-confidence was destroyed.

Destroyed by a doctoral student who had just been in clinical practice for a few years!

...

In the demonstration room.

Only Lu Chen, Liu Jun, and Zhang Shuqing were left.

"Lu Chen, this is our chief of cardiology, Director Liu." Zhang Shuqing immediately stepped forward to introduce.

"Hello, Director Liu." Lu Chen said neither servile nor overbearing.

"Well, good!" Liu Jun laughed, patted Lu Chen on the shoulder, and looked at Lu Chen carefully, "Where are you from?"

Gu Xin

"I'm not from the Magic City, I'm from Jiangcheng near Huzhong Province."

"Oh, Jiangcheng? This is a good place!" Liu Jun nodded slightly, "I went to Jiangcheng once when I was young, and the humanities and customs there impressed me deeply."

Liu Jun is indeed a good man in the world, and he immediately narrowed the distance with Lu Chen.

"You also studied in Jiangcheng for your undergraduate and master's degrees?" Liu Jun continued.

Lu Chen shook his head, "I studied in Jiangcheng University for my undergraduate degree and Jinghua for my master's degree."

"Jinghua?" Liu Jun was slightly stunned, and his expression changed again when he looked at Lu Chen, "Your master's supervisor... couldn't it be Li Yao?"

Lu Chen was startled, "Yes!"

He looked at Liu Jun strangely.

This was the first time he met Liu Jun, how could Liu Jun know his supervisor in Jinghua?

Liu Jun seemed to see Lu Chen's confusion, and smiled, "Your supervisor recently published a top journal paper. This kind of paper is extremely rare no matter which hospital it is in, and we must have paid attention to it."

"Professor Li Yao once communicated with me that her students would come to Shanghai, and I didn't expect you to come so early."

Lu Chen came to the hospital two months in advance.

There is still one month before the start of school.

Lu Chen understood this time. Professor Li Yao had told him before that he would say hello to his old classmates in Shanghai and ask them to help take care of him.

Unexpectedly, this relationship turned out to be the director!

Li Yao's connections are really strong.

But then again, if the connections were not strong, Li Yao would not have won the title of "Outstanding Young Scholar" this year.

"Director Liu, this student of mine is really worth it!" Zhang Shuqing also laughed at the side, "His resume is really dazzling!"

"Really?" Liu Jun smiled slightly. He liked Lu Chen more and more. "Lu Chen, come with me."

"Yes." Lu Chen nodded.

He followed Director Liu Jun and came to the VIP ward of the Cardiology CCU.

...

In the VIP ward.

A male patient in his fifties was lying on the bed.

Next to him stood a man who was slightly older than him, with a square face, a suit and a stern face.

When he saw Liu Jun and the other two come in, his face did not change, but he nodded slightly: "Director Liu, you are here."

"Director Zou, why are you here in person?" Liu Jun hurried forward and smiled.

"I heard that you had a big discussion within the department, I came to see the results."

Zou Yi said calmly, he looked behind Liu Jun, why is there a young doctor?

He looked a little unhappy, the fewer people knew about his coming to the hospital, the better.

"Director Zou, the results of our discussion have come out." Liu Jun said seriously, "It may be necessary to do radiofrequency ablation surgery."

"Hmm?" Zou Yi frowned, "Isn't it a pacemaker implanted? Why do you need ablation again?"

Zou Yi has already asked the professor in Kyoto, and others have suggested implanting a pacemaker after looking at the electrocardiogram.

Why is ablation required in Magic City? !

However, between ablation and pacemaker implantation, Zou Yi is definitely more inclined to ablation.

The pacemaker is a permanent foreign body implanted, and there will be many problems in the later treatment.

"How should I put it..." Liu Jun organized his words and wanted to use the simplest language to explain the cause of the patient's illness, "In fact, the patient's slow heart rate is the result, caused by frequent atrial premature beats. After the atrial premature beats are ablated, the patient's heart rate will increase!"

"Hmm." Zou Yi nodded slightly, "How about this, you help me get a copy of the case data."

He decided to take all the medical records and ask the doctor in Magic City again.

"Okay, I'll ask Dr. Lu to send it to your secretary later." Liu Jun said, "Dr. Lu is also the main person participating in this discussion and has made great efforts for this discussion."

"Just send the case to me directly." Zou Yi glanced at Lu Chen and didn't care.

He didn't quite believe that with so many chief professors around, what use could a young doctor have?

This young doctor was probably just a person that Liu Jun had promoted to focus on training. 　　16377/10312766