I Can See Health

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Because he was an expert, Li Yao could not see the patient quickly and asked about the condition very carefully.

Although there was medical record information, Li Yao still asked about the relevant medical history again.

The patient was then given a careful physical examination, including auscultation of the heart and lungs.

"I think it's still angina pectoris caused by coronary heart disease."

However, Li Yao's final opinion was not convincing to the patient.

"Professor Li, my blood vessels are fine and there is no narrowing. The doctors at the county hospital have said that my chest pain may have nothing to do with my heart."

When Li Yao heard this, she shook her head firmly, "First of all, there is something wrong with your blood vessels. It is only because of the stent that the blood vessels are not narrowed. Secondly, if the blood vessels are normal, can't it be chest pain caused by coronary heart disease? "

"This..." the man scratched his head, "I just heard what the county doctor said, but I don't quite understand it!"

"Let's do this, you go for an electrocardiogram and ultrasound first, and we'll deal with it after the results come out," Li Yao said.

The man was relatively easy to talk to. He nodded, immediately took the checklist given by Lu Chen, and left.

…

In the outpatient room.

Lu Chen shrugged, "Teacher, why do I feel that the patients are a little strange?"

"That's right!" Li Yao smiled, "Except for those who can spend three hundred yuan to register, most of the patients are those who cannot be handled by lower-level hospitals. It’s a bit strange. Once you stay in clinical practice for a long time, you will know the secret.”

As soon as Li Yao finished talking to Lu Chen, the third patient walked into the outpatient room.

The patient this time looked more normal than the previous two.

She is a female patient in her sixties.

As soon as he walked in, he said to Li Yao very affectionately: "Professor Li, I finally waited for you to leave the clinic again."

At first glance, this patient is an old patient of Teacher Li Yao.

"Aunt Zhang, why are you feeling uncomfortable again?"

Aunt Zhang smiled more and shook her head, "It's nothing uncomfortable. I just came to see if the oral medications you are taking now need to be adjusted?"

Under Lu Chen's gaze, Aunt Zhang took out an old medical record from her small bag.

"Hey, you don't need to dig out the medical records." Li Yao smiled, "I know your situation. Of the medicines you are taking now, you can stop two of them, but you need to check your blood first."

"Okay, I'll do whatever you want." Aunt Zhang smiled.

So, with Li Yao's authorization, Lu Chen began to issue some examination and laboratory application forms to patients...

As the outpatient consultation progressed, Lu Chen discovered that Teacher Li Yao had so many old patients!

Because there are only thirty people in the expert account every day, many people register a day in advance and don't care about the 300 registration fee at all.

…

Just when Li Yao was seeing the fifth patient, the first young man returned to the outpatient room with an electrocardiogram.

Li Yao reached out to take the electrocardiogram and was about to say a few words before asking the young man to go back.

When she lowered her head to look at the electrocardiogram, Li Yao's expression was stunned.

Electrocardiogram shows: T waves from lead v1 to lead v6 are all inverted.

Although the T-wave inversion is not deep, it is obviously abnormal for this kind of electrocardiogram to appear in a young person!

"Here, is this your electrocardiogram?" Li Yao asked hesitantly.

"Yes." Zhu Zhonghua nodded, "Is there any problem?"

Li Yao paused and organized his speech: "If this electrocardiogram appears in middle-aged and elderly people, it is most likely to be coronary heart disease! But now it appears in a young person..."

The expression of the young man in front of him remained unchanged, as if he was not surprised by this result.

"You already knew there was something wrong with your electrocardiogram, right?" Li Yao also noticed the abnormality and asked aloud.

"Well, during the previous physical examination, I did an electrocardiogram." Zhu Zhonghua nodded, "The doctor who did the physical examination told me that there might be something wrong with my electrocardiogram. Later, I did a lot of examinations, including ultrasound and the like. no problem."

Hearing this, Lu Chen felt relieved.

No wonder he had to call an expert to do an electrocardiogram, and he had "premeditated it"!

"Do you feel any discomfort after usual activities?" Li Yao continued, "For example, chest tightness, chest pain, etc."

Zhu Zhonghua shook his head, and then patted his chest, "I'm usually very good. I often take part in physical exercises! I don't smoke or drink on weekdays."

Li Yao thought for a moment and then said: "Then your electrocardiogram may be abnormal for others, but it may be normal for you! It doesn't matter, just go back and have a good rest and don't stay up late."

After Li Yao said these words, Zhu Zhonghua became slightly silent.

He took a deep look at the electrocardiogram in his hand and then said slowly: "Professor Li, to be honest, I am preparing for a civil servant's physical examination this time. I have already done an electrocardiogram in advance and said it is abnormal. If If the official physical examination is still like this, I may be dismissed. "

The physical examination procedures for civil servants are relatively strict.

What's more, the results of an electrocardiogram are very intuitive.

Once these results are different from ordinary people, it is possible to say goodbye to the position of civil servant.

"But your electrocardiogram..." Li Yao shook her head slightly, "For you, it's really no problem."

Zhu Zhonghua gritted his teeth and whispered: "Professor Li, is there nothing you can do to straighten the T wave of my electrocardiogram? Let him straighten it!"

Li Yao frowned.

The electrocardiogram can change.

But usually there is a sudden change in the condition, and the T wave changes from upright to inverted. This is a common "myocardial ischemia" change.

However, under normal circumstances now, Zhu Zhonghua's electrocardiogram is inverted!

If you want his electrocardiogram to be straight, is it possible to make him sick?

This is obviously impossible!

"It's impossible for your upright T-wave to become an upright T-wave." Li Yao shook her head.

"Really?" Zhu Zhonghua was a little desperate. UU Reading www.uukanshu.net

I passed the civil service exam notes and interview!

Now I actually fell into the physical examination stage.

It just so happened that he didn't have any physical illness!

"No." Li Yao shook her head, "You just have to go to the hospital where you have a physical examination and ask their cardiologist to issue a certificate proving that you are not sick."

"Hey." Zhu Zhonghua sighed, "If this method works, then I don't have to be so anxious!"

Lu Chen had been listening carefully to the conversation between Zhu Zhonghua and Li Yao.

In addition to the condition described by Zhu Zhonghua, he also noticed another thing, that is, the character of the young man in front of him seemed to be a little anxious, and he spoke very fast.

Suddenly, an idea flashed in Lu Chen's mind.

He turned around and whispered to Li Yao beside him: "Teacher, maybe I can straighten the T wave in his electrocardiogram!"