I Can See Health

Open the medical record system and there are 5 empty beds.

Lu Chen sent a WeChat message to Wang Zihao.

"There are beds available."

After a while, Wang Zihao replied to WeChat.

"Okay, come here at nine in the morning."

…

After the morning shift ended, Sun Guoguo led everyone in ward rounds.

Of the four hospital beds under Lu Chen's charge, one was empty.

The conditions of the other three patients are relatively stable and they are all ready to be discharged electively.

"The little patient in bed 13 was transferred back from CCU."

Everyone came to bed 13.

Lu Chen saw a little girl lying on the hospital bed.

The little girl with familial hypercholesterolemia.

The hospital beds around her were filled with elderly people over the age of sixty or seventy, and she seemed out of place.

"Kid, does your chest still hurt now?"

Sun Guoguo leaned down and touched the little girl's head.

The little girl looked timidly at the group of doctors in front of her, then buried her head in the quilt, not daring to speak.

"She feels much better." The little girl's mother smiled from the side. "After the heart surgery that day, her chest pain symptoms were relieved a lot. Thank you, doctors."

"Well, that's good." Sun Guoguo stood up, "She will still have to take blood-lipid-lowering drugs from now on. For her disease, she must control her blood lipids well, otherwise she will get sick again in the future."

"Okay." The girl's mother nodded.

"Don't have too much psychological pressure." Seeing that the little girl remained silent, Sun Guoguo continued to comfort her, "Now that we have found the cause, we will get better and better with symptomatic treatment in the future."

As if she heard Sun Guoguo's words, the little girl slowly poked her head out of the quilt and stared at Sun Guoguo closely.

"Don't worry, it will get better gradually. In the future, you can eat delicious food and play in the amusement park like other children." Sun Guoguo looked at the little girl with a smile.

A glimmer of hope flashed in the little girl's eyes.

However, Lu Chen on the side frowned.

He glanced at the health value on the little girl's head. The value was 65!

There is no life-threatening danger at the moment.

But there was one thing about this little girl that he still didn't understand.

Considering her extremely bad vascular condition, why did the surgeon in the cath lab downstairs only perform PTCA and gave up direct PCI treatment?

If it is because the patient is young, he is afraid of affecting her future life.

But if her blood vessels become narrowed again in the future, it will have a greater impact on her!

I'm afraid this question can only be asked to the surgeon in person in the future.

…

Just finished checking the house.

Before Lu Chen returned to the doctor's office, he saw Wang Zihao walking into District 8 wearing a white coat.

Behind him was a middle-aged woman about fifty years old.

"Hey, Lu Chen, I'm here with my aunt." Wang Zihao held a hospitalization certificate in his hand and handed it to Lu Chen. "I've already asked Teacher Li Yao at the outpatient clinic to get a hospitalization certificate."

Lu Chen took the hospitalization certificate and looked at Wang Zihao's aunt.

She is bloated and has a fat face. She wears a necklace around her neck. When she smiles, her eyes narrow into slits.

"Zihao, take your hospitalization certificate and ask the nurse to arrange a bed for you first."

"Okay." Wang Zihao nodded, turned around and said, "Auntie, please sit down and rest for a while while I go to the nurse's desk."

"Well, go and come back quickly."

After Wang Zihao left, Lu Chen began to inquire about the relevant medical history.

"Aunt Fu, what do you usually feel uncomfortable about?"

"I just have chest pain, right here." Fu Fengqin pointed to the left side of her chest.

Lu Chen asked and began to take notes briefly.

"So when did your chest pain occur? Did it hurt after you moved, or did it hurt when you were inactive and resting?"

"Well..." Fu Fengqin paused, "Let me think about it. It hurts when I move, and it hurts when I don't move. There is no pattern to the pain."

Lu Chen wanted to continue asking, but was interrupted by Fu Fengqin.

"Oh, Xiao Lu, I came to your hospital this time just to have a cardiac angiogram. You don't have to ask so many questions about whether it's available." Fu Fengqin waved her hand gently and revealed the big gold bracelet on her wrist. .

"Auntie, our consultation is a normal procedure for seeing a doctor." Lu Chen smiled helplessly, "And no one can say that your heart problem is 100% right?"

Fu Fengqin quickly shook her head.

"There is something wrong with my heart! Don't tell me it's not true. I know my own body very well."

"Then what tests did you have at the local county hospital? Did you do a CTA of the heart and blood vessels?" Lu Chen continued.

"I didn't do a CTA, but I did several electrocardiograms."

Fu Fengqin dug around in her small bag for a long time and found three electrocardiograms full of wrinkles.

Lu Chen picked it up and took a look.

The three electrocardiograms are similar, and all are caused by T waves in leads V4-V6 of the chest.

Just looking at the electrocardiogram, the T waves in the precordial leads are inverted.

It is indeed a change of myocardial ischemia. Combined with the patient's symptoms, there is a possibility of coronary heart disease.

At this time, Wang Zihao came back from the front desk of the nurse station.

"Lu Chen, the bed has been arranged. It's bed 11."

Bed 11 happened to be the hospital bed under Lu Chen's charge.

"Okay, you take Auntie to the ward first, and I'll come over right away with the electrocardiogram machine." Lu Chen said.

Fu Fengqin immediately interrupted Lu Chen, "Hey, Xiao Lu, UU Reading www.uukansｈhu.net Didn't I give you so many electrocardiograms? Why do you still need to do electrocardiograms?"

Before Lu Chen could speak, Wang Zihao on the side immediately said: "Auntie, the electrocardiogram may change at any moment, and this is the rule of the department. New patients admitted to the hospital must have an electrocardiogram. Just ignore the treatment. , just let the doctor handle it.”

"Zihao, it's so valuable to do an electrocardiogram. I seem to be in my fifties or sixties. I don't want to spend this wasted money!" Fu Fengqin muttered and walked towards bed 11.

Lu Chen's expression was a little helpless, but he still pushed the electrocardiograph and followed the two of them.

Came to bed 11.

Under Wang Zihao's care, Lu Chen performed an electrocardiogram on Fu Fengqin, which showed that the results were not much different from before.

…

Outside the ward corridor.

"Lu Chen, my aunt has a rather impatient personality, so don't worry about it." Wang Zihao scratched his head in embarrassment.

"It's okay." Lu Chen smiled.

"Then when can we arrange for a cardiac angiography?" Wang Zihao said, "This is the surgery she came here for."

Lu Chen frowned and said, "Actually, I just asked you a few questions, your aunt is really not necessarily suffering from coronary heart disease!"

"Isn't it a heart problem?" Wang Zihao was stunned, "Her electrocardiogram seems to be changes caused by myocardial ischemia."

"An EKG can't tell the whole story."

"But she also had chest pain, which was more like symptoms of angina pectoris."

"Angina pectoris caused by coronary heart disease is mainly chest pain after exertion." Lu Chen said, "Your aunt's chest pain is not very typical angina pectoris caused by coronary heart disease."

Wang Zihao asked doubtfully: "That's not coronary heart disease. What kind of disease could it be?"