Chapter 673: Human Stereotypes

The Second Hospital of Shanghai, Outpatient Building.

Lu Chen has gradually taken over Zhang Shuqing's outpatient position.

He has one day a week to see the outpatient.

Zhang Shuqing spends more time on scientific research.

Today, it is Lu Chen's turn to see the outpatient.

In the morning, he bought soy milk and fried dough sticks in the cafeteria and came to the clinic.

The graduate students in the group had already come to the clinic in advance and helped Lu Chen turn on the computer.

It feels good to have students to help!

Lu Chen remembered that a year ago, he followed Li Yao to see the outpatient.

Now, he can see the outpatient alone.

"Teacher Lu, it's time, shall I call the first patient in?" The accompanying graduate student asked.

Their task, in addition to helping the teacher write medical orders and medical records, is to maintain order on the scene.

"Okay, call." Lu Chen smiled.

...

As Lu Chen's reputation became more and more famous, there were also many patients who came to see the doctor in the surrounding counties and cities.

In the past, Lu Chen saw a maximum of 30 patients a day.

But now, there are about sixty patients who see Lu Chen every day!

It is twice as many as before.

Lu Chen can't help but speed up the speed of seeing patients.

Otherwise, he can't see all the patients on the same day.

"Auntie, you have obvious symptoms of chest tightness and chest pain after activities, and you have high risk factors for coronary heart disease and a history of genetic diseases. I suggest you do angiography directly."

"Uncle, after you replace the valve, you need to take warfarin orally for a long time and monitor INR regularly. Don't forget it!"

"Uncle, you don't need to take medicine for your blood pressure level for the time being. You can exercise and control your diet for three months. If your blood pressure is still very high, you need to take medicine!"

"..."

Most of the patients in the outpatient clinic have some minor problems.

If you really encounter a bad disease, Lu Chen will not be so cheerful.

He must frown and think for a long time before starting to speak.

Just like the patient in front of him.

In Lu Chen's eyes, the old man's life value is only 49 (——)!

Looking at his examination report in the external hospital, Lu Chen frowned deeply.

The patient's cardiac ultrasound showed: extremely severe aortic valve stenosis, valve orifice area of ​​0.5 square centimeters, flow rate of 5.5hg.

CT showed severe calcified aortic valve stenosis, calcification score of 2208, and a small amount of pleural effusion and pericardial effusion.

"Uncle, what's wrong with you now?" Lu Chen said.

"I feel chest tightness and fatigue when I move a little, and sometimes I feel black in front of my eyes."

The old man explained his symptoms very clearly.

Lu Chen nodded slightly, "Your main problem is severe aortic valve stenosis!"

Aortic valve stenosis is very harmful and can cause arrhythmia (atrial fibrillation, premature ventricular contractions, ventricular tachycardia, etc.).

Some aortic valve stenosis can also cause embolism of the systemic circulation, and the detachment of emboli may cause stroke, etc. If it is severe aortic valve stenosis, it will cause syncope or even sudden death.

The old man has already shown signs of blackouts and syncope. Pleural effusion and pericardial effusion are signs of decompensated heart failure, which may cause sudden death at any time.

"Doctor Lu, I came to you this time because I actually want to do a tavr operation!" Meng Xiangsheng looked at the doctor who was a little too young in front of him. After hesitating for a moment, he still understood the purpose of his visit.

When he first arrived at the Second Hospital of Magic City, he was full of expectations for "Lu Chen".

But when he saw him in person, his heart seemed to be poured with a bucket of cold water.

Too young!

If there were no photos at the door of the clinic, Meng Xiangsheng might have thought that Lu Chen was just a student.

Why did Dr. Fan Zhiping recommend this kind of doctor?

Lu Chen did not find anything abnormal about Meng Xiangsheng.

He was concentrating on examining the patient at this time.

"Do you know about the tavr operation?" Lu Chen was slightly surprised.

Generally, people who are not in the cardiovascular field rarely know about this new procedure.

"I'm not from Shanghai, I'm from Jinghua." Meng Xiangsheng said softly, "The doctor at the local hospital recommended me to come to you."

"Jinghua? Come to see me?" Lu Chen was stunned.

He flipped through the medical records in the patient's hand.

After a closer look, it turned out to be Fan Zhiping from Fengm County? !

An old acquaintance!

Looking at Lu Chen's expression, Meng Xiangsheng asked in confusion: "Doctor Lu, do you know Doctor Fan?"

Lu Chen nodded, "I also came from Jinghua, and I used to work with Fan Zhiping."

Hearing this, Meng Xiangsheng suddenly realized.

No wonder Fan Zhiping recommended Lu Chen to him, it turned out that the two knew each other!

At this time, Meng Xiangsheng didn't trust Lu Chen in his heart.

"Since this is a patient from Jinghua, I'll be direct." Lu Chen said, "For a condition like your father, he needs to undergo a tavr surgery within a certain period of time, otherwise his condition will get worse and worse if he delays it!"

"But surgery also has certain risks. If you agree to the surgery, our department just happens to have a bed, and you can go through the admission procedures immediately!"

If someone told Meng Xiangsheng before meeting Lu Chen that he could be hospitalized directly in the Second Hospital of Magic City, he would definitely be very excited.

But after seeing Lu Chen, he was a little shaken.

Could it be that Fan Zhiping from Jinghua had some kind of py deal with Lu Chen?

Otherwise, with so many top hospitals and top doctors in Magic City, there was no need for Fan Zhiping to ask him to find such a young doctor!

"Doctor Lu, let me think about it."

Meng Xiangsheng's words made Lu Chen stunned.

Still need to consider?

Only then did Lu Chen notice Meng Xiangsheng's hesitant look.

It seems that this is probably another patient who doesn't trust him.

Lu Chen was not too angry.

He has encountered this situation too many times!

People always have stereotypes about a thing.

However, Lu Chen did not explain too much.

The foundation of a good doctor-patient relationship is trust.

If the patient and family members in front of you don't trust you, there is no need to force them to stay.

If you force them to stay, if the operation really goes wrong, it may be more troublesome!

"Okay then." Lu Chen said to the graduate student next to him, "Call the next patient in!"

...

Meng Xiangsheng took his father and walked out of Lu Chen's clinic.

"Xiangsheng, I think Dr. Lu is pretty good." Meng Xiangsheng's father said, "He was very serious and careful when he examined me. And the questions he asked me were all targeted."

"Dad, but he... is too young." Meng Xiangsheng frowned, "I think he is only in his early twenties. I don't think he has much surgical experience. I don't feel safe letting him do the surgery on you."

"Alas, you are usually quite smart, why can't you figure it out at this time?" Meng Xiangsheng's father shook his head slightly, "Look at these doctors who are doing outpatient clinics, are there any who are as young as Dr. Lu?"

"No." Meng Xiangsheng shook his head.

"That's right, at his age, he can do outpatient clinics in a top hospital like the Second Hospital of Magic City. Do you think Lu Chen can be simple?"

Meng Xiangsheng was stunned and felt that his father was right.

However, the preconceived idea was deeply rooted in his heart.

Meng Xiangsheng decided to go to a few more hospitals and see a few more doctors. After comparison, he finally chose the best surgeon. 16377/10398643