I Can See Health

   Chapter 421 Doing Business and Healing

   "Thyroid function?" Yao Wei was startled, and hurriedly flipped through the test sheet, "It doesn't seem like..."

   "Yes, so this patient definitely needs to check the thyroid function again." Lu Chen said, "If the heart rate slows down due to hypothyroidism, then there is no need to install a pacemaker."

  Hyperthyroidism, the metabolic rate of the human body increases, which can cause palpitation and rapid heartbeat.

   On the contrary, hypothyroidism, the decrease of the body's basal metabolic rate, will cause the heart to slow down.

   At this time, after the treatment of hypothyroidism, the patient's heart rate will naturally rise, and it is absolutely unnecessary to install a pacemaker!

   Yao Jie, as a graduate student of Cardiology, must know this. Hypothyroidism leads to a slow heart rate.

   However, in the treatment of clinical patients, it is not like giving a few options like doing a problem, but it requires the use of clinical diagnostic thinking in order to find the final symptoms of the patient.

"Sister, this patient needs to check more than thyroid function." Lu Chen continued, "In addition, it is necessary to check the coronary artery to determine whether the patient's heart rate is slow due to coronary heart disease. If so, treatment for coronary heart disease must be added. In addition, it is necessary to inquire in detail about the patient's medication, whether he is taking drugs that lower the heart rate, such as our common beta-blockers."

   "Well." Yao Jie had already picked up the small notebook and followed behind Lu Chen, listening to him while recording.

   This kind of scene seems to go back to the time when I practiced in the eight districts in the heart of the Jinghua Second Hospital.

  She was the same, following behind Senior Brother Lu Chen, listening to him explain various diseases.

  Unconsciously, the two walked back to the doctor's office.

   "So, this patient, whether to have surgery or not, is a matter of two things." Lu Chen said, "Don't rush to talk about surgery, follow the diagnosis and treatment guidelines, and complete the preoperative examination first."

   "Okay, Senior Brother." Yao Jie nodded with a smile.

  The words of the two were heard by Wu Lang.

   He turned his head in surprise. If he heard correctly, Lu Chen said he might not have surgery?

   Wu Lang frowned. He had seen this patient, and he had already told Yao Jie to have an operation tomorrow.

   Isn't Lu Chen a face slap?

  Although Lu Chen's surgical ability amazed everyone, as a graduate student of Kyoto University School of Medicine, Wu Lang also has his own little pride.

   He hurriedly said: "Lu, Lu Chen, the 23-bed patient just now, Mr. Fang has already explained that he will have surgery tomorrow morning."

  Lu Chen frowned, turned around, and saw a somewhat feminine-looking boy.

   "Are you sure Teacher Fang said this?" Lu Chen confirmed again, he didn't believe Fang Ruzhang would do such a hasty thing.

   "Fang, Mr. Fang said, we are going to have surgery..." Wu Lang's voice became weaker and his breath was insufficient.

  Lu Chen chuckled, "Then tell me, did Teacher Fang see this patient in person?"

   "Senior brother, Mr. Fang is still in the catheterization room, so I didn't have time to see this patient." Yao Jie whispered from the side.

Lu Chen nodded. He had already guessed that Fang Ruzhang had never seen this patient in person, and most of the time he just said that he might have a pacemaker operation, and then the students below executed it as a "decree". .

   "I will communicate with Teacher Fang Ruzhang personally about this patient." Lu Chen said.

   "Ah? This..." Wu Lang froze in place, Lu Chen was equivalent to rejecting everything he had done before.

  …

   At this moment, a middle-aged man with a pot belly walked into the doctor's office with a briefcase under his arm.

   "Who is the doctor in charge of the twenty-three beds?"

   As soon as he walked into the doctor's office, the middle-aged man shouted with a loud voice.

  The people in the doctor's office all looked towards the door.

   The middle-aged man didn't feel any embarrassment, but instead repeated: "Who is the doctor in charge of the twenty-three beds?"

   Yao Jie only stood up at this time, "Hello, I'm a bed doctor."

"What did you do?" The middle-aged man frowned when he saw Yao Jie, why is he such a young doctor, "The first doctor said that he was going to have an operation, and it will be arranged immediately tomorrow. But another doctor just passed by. , Saying that it is not necessary to do surgery?!"

   The middle-aged man's voice was so loud that he wished everyone in the department could hear it.

   Yao Jie bit her lip, not knowing what to say for a while.

   Wu Lang shrank his head even more, completely silent, feeling a little gloomy in his heart, "Look, they've all come over to ask for guilt!"

   "Hello, are you the patient's son?" Lu Chen stood up and said.

  The middle-aged man didn't want to pay attention, but seeing Lu Chen's attitude and momentum, he was slightly startled, and then nodded, "Who are you?"

   "I'm a surgeon." Lu Chen said, "If your mother can perform surgery tomorrow, I'll do it."

Hearing this, the middle-aged man, who was a little arrogant at first, immediately put on a smile on his face, and walked up to Lu Chen, took out a pack of cigarettes, and handed one to Lu Chen, "Hello doctor, may I ask you? Your name?"

   The difference between internal medicine and surgery can be seen from here in general.

  Many patients are polite to surgeons, but they are not so good-natured to physicians.

  Lu Chen frowned slightly and didn't answer the middle-aged man's question, "Sorry, smoking is prohibited in the hospital."

   The middle-aged man smiled awkwardly, then put the cigarette back.

   "Doctor, it's like this, when will you be able to schedule my mother's surgery?!"

   "Didn't I tell you, I can't do it for now." Lu Chen frowned, "I told your mother just now that the operation is pending!"

   "Huh?" The middle-aged man was taken aback, how could a surgeon push the operation outside without thinking about it?

   "We need to improve the preoperative preparations..." Before Lu Chen could finish speaking, he was interrupted by a middle-aged man.

   "We have already checked in the hospital below. We came to you because we thought you were skilled enough to perform surgery!" The middle-aged man said quickly, "Why do you want to check it again? Isn't this a waste of time?"

  Lu Chen smiled and did not refute immediately, but pulled over a chair, "Uncle, sit down, we will tell you slowly."

   The middle-aged man sat down when he saw this.

   "First of all, I'm a surgeon, do you think I'll delay the operation on purpose?" Lu Chen smiled.

   The middle-aged man nodded slightly, "That is to say, it's the same as doing business, just do it when it comes to your door."

   "Uncle, don't make a mistake." Lu Chen said, "We are completely different from doing business. We are asking you to do business. But we, I wish you didn't come to the hospital."

   The middle-aged man smiled, and there seemed to be some disbelief in his eyes.

  Lu Chen didn't care what the middle-aged man thought, and continued: "Uncle, have you ever thought that your mother doesn't need a pacemaker?"

   "However, we have checked at the hospital below and said that a pacemaker will be installed!" The middle-aged man still held his own opinion.

   "I didn't say that the inspections you did before don't count." Lu Chen said, "It's just that some necessary inspections are lacking, and we need to further improve. If there is no problem with the inspections, then we will go for surgery."

  The middle-aged man paused, then hesitantly said, "Then, when is the earliest time to have surgery?"

   "If you cooperate, we will start pre-surgery preparations today. We only have two days at most." Lu Chen said.

   "Okay, I'll listen to you." The middle-aged man finally let go.

   Hearing this, Lu Chen breathed a sigh of relief and smiled at Yao Jie who was beside him.

   (end of this chapter)