I Can See Health

"Old Dong, so this electrocardiogram is really not supraventricular tachycardia, but left posterior branch ventricular tachycardia?"

After speaking, Lu Wenguo looked up at Lu Chen.

On the other side of the phone, Lao Dong smiled and sighed.

"Yes, it is indeed left posterior branch ventricular tachycardia."

"This special type of ventricular tachycardia is easily confused with supraventricular tachycardia with right bundle branch block. This kind of electrocardiogram is rarely seen in primary hospitals like ours. I didn't notice it at first glance. But I looked carefully again. Look, there is atrioventricular dissociation, it should be left posterior branch ventricular tachycardia."

"Hurry up and stop Cordron and give a dose of verapamil, which should be able to stop the left posterior branch ventricular tachycardia."

"Okay, but we don't have verapamil in our department. I'll ask the nurse to borrow two from your department."

Lu Wenguo sighed inwardly. This was exactly the same as the treatment method Lu Chen mentioned.

"Hey, Lao Lu, hang up the phone later! You haven't said who could see this in the electrocardiogram room?"

Lu Wenguo smiled and said, "Let's talk about it next time we meet. The patient's condition is rather urgent now, so I'll let the nurse administer the medicine first."

Listening to the busy signal on the phone, Lao Dong shook his head helplessly.

He is very familiar with the level of Binh Duong City Hospital.

As the deputy chief physician of the Department of Cardiology, if he did not immediately identify the electrocardiogram as left posterior branch ventricular tachycardia, let alone others.

What's more, the other party is also a surgeon.

This is definitely not the level that Lao Lu can achieve!

Is there someone behind him?

Old Dong thought to himself that he guessed that there was someone behind Lu Wenguo, but he couldn't guess that it was his son.

…

General Surgery.

After making this call, Lu Wenguo could basically make a clear diagnosis. This electrocardiogram should be "left posterior branch ventricular tachycardia."

Wu Yun on the side also heard the conversation between the two. After confirming that this was left posterior branch ventricular tachycardia, he gave Lu Chen a thumbs up.

"Zhang Xin, stop this patient's Codalone."

Lu Wenguo walked to the nurse's desk.

"Then call the nurse and go to the cardiology department to borrow two doses of verapamil."

Sometimes, medicines from the night-shift emergency pharmacy of the hospital are slow to arrive, so it is better to borrow one directly from the relevant department and then return the medicine after the medicine comes to the pharmacy.

Zhang Xin said in surprise: "Director Lu, this patient's Codalon pump still has more than half of the liquid, so just stop using it?"

Lu Wen nodded.

"After borrowing verapamil, take one quietly."

"Okay." Zhang Xin immediately called the cardiology department.

In less than five minutes, the nurse brought verapamil from the cardiology department.

Verapamil is a derivative of papaverine, a Class IV antiarrhythmic drug, and an inhibitor of calcium ion influx.

Lu Wenguo and Wu Yun stood beside the patient's bed, watching Zhang Xin slowly push a tube of verapamil into the patient's vein.

"Director Lu, this medicine of yours is..."

The fat man with big head and ears carefully looked at the doctor's orders on the treatment sheet.

"What kind of rice is it?"

Lu Wenguo glanced at the fat man: "Verapami."

"Director Lu, why did you take away the medicine just now?" The fat man asked doubtfully, "I see there is still more than half a bottle in it. Isn't it all wasted?"

Lu Wenguo kept staring at the ECG monitor and replied without raising his head: "Your father is not sensitive to the drug just now, and his arrhythmia type is more complicated. We need to try another drug."

"Oh." The fat man nodded and then sat down beside the bed with peace of mind.

Many times, based on the hospital's medical level and understanding of the disease, diagnostic errors or treatment errors often occur, but this is inevitable.

For example, the identification of left posterior branch ventricular tachycardia and supraventricular tachycardia with right bundle branch may be wrong even in top tertiary hospitals, let alone a grassroots hospital like Binh Duong City!

So when this happens, proper communication can avoid medical disputes.

If Lu Wenguo tells the truth now, saying that the diagnosis was wrong and the wrong medicine was used, then there is no chance that the patient's family will make a big fuss again.

…

Time passed by minute by minute.

Five minutes have passed since the intravenous injection of verapamil.

Lu Wenguo and Wu Yun were still standing beside the patient's bed, their eyes fixed on the electrocardiogram monitor.

The heart rate is still 150 beats/minute!

Wu Yun whispered: "Director Lu, I just heard Xiaochen say that if the first dose of verapamil is not effective, you can wait ten minutes and try another one."

"Yes." Lu Wenguo responded softly, "Then wait a few minutes and wait. If it doesn't work, push another one."

Another three minutes passed.

The patient's heart rate is still 150-160/min.

"Zhang Xin, prepare to push another dose of verapamil." Lu Wenguo ordered.

"Okay, I'll prepare the medicine." Zhang Xin nodded, turned and left the ward, heading towards the medicine dispensing room.

Zhang Xing just walked out of the ward.

The heart rate value on the ECG monitor suddenly jumped!

Lu Wenguo and Wu Yun saw that the value that was originally 150 suddenly dropped to 130...

Then it jumped again and dropped to 110...

"Zhang Xin, wait a minute, you don't have to go yet." Lu Wenguo immediately looked at the patient on the bed, "Uncle, how do you feel now?"

The old man on the bed slowly opened his eyes.

"I don't feel anything big, just that my palpitation is better and my heart doesn't feel as fast as before."

Lu Wenguo turned around and ordered: "Xiao Wu, contact the electrocardiogram room to review the patient's electrocardiogram."

"Okay Director."

Wu Yun immediately took out his mobile phone and called the electrocardiogram room.

The surgical departments of grassroots hospitals like theirs do not have standing electrocardiogram machines.

Once you encounter a patient with this kind of arrhythmia, UU Reading www.uukanshu.net needs to ask the night shift doctor in the electrocardiogram room to come and do an electrocardiogram.

"Director Lu, my dad's heart rate has dropped!" The fat man looked delighted. He also saw the phone call on the ECG monitor, "Is he recovered?"

Lu Wenguo's serious expression softened slightly.

"It's hard to say now. We are going to review your father's electrocardiogram."

Clinicians never speak for themselves; everything must be based on evidence from auxiliary examinations.

"Okay, I will listen to you, Director Lu."

The fat man nodded like a chicken pecking at rice. Considering his bloated figure, he felt a bit happy.

The night doctor from the electrocardiogram room arrived soon.

"嗗……嗗……"

The twelve-lead electrocardiogram was completed.

Heart rate 106 beats/minute!

Although the heartbeat is still faster than normal people, it has dropped significantly.

…

doctor's office.

Lu Chen suddenly received a system prompt.

"System completion is increased!"

System completion increased again, from 40% to 50%.

Lu Chen smiled slightly. It seemed that the patient had been cardioverted!

But this time, the gratitude value did not increase.

Lu Chen guessed that although he diagnosed this case, the patient and his family did not know of his existence.

So this time only the system completion level increased, but the gratitude value did not increase.

on the system light curtain.

There are a total of 5 points of gratitude.

The system completion level is 50%.

We are one step closer to reaching 100% system completion!