I Can See Health

   Chapter 429 Volunteering

   Two days on weekends.

  Lu Chen continued to learn about interventional knowledge of cardiac electrophysiology under the guidance of Ouyang Ming.

  Although Lu Chen has a system for virtual surgery, there is a lot of clinical experience that the system cannot give.

   And Ouyang Ming has more than 50 years of experience in the field of electrophysiology. His clinical experience is definitely a valuable asset.

   And since he learned the content of the third stage of the assessment, Lu Chen has also become more diligent.

   In addition to being in the catheterization room every day, it is in the training room of the training class.

   As Lu Chen's teacher, Xiao Shikang was also a little surprised.

  No one can succeed casually. At such a young age, Lu Chen can achieve the results he is today, and he will only pay more than others.

  …

  The First Affiliated Hospital of Kyoto University, Cardiology Catheterization Laboratory.

   "Lu Chen, I'll give you a day off tomorrow. You can have a good rest." Xiao Shikang walked to Lu Chen's side.

  Lu Chen was stunned for a moment, then smiled, "Mr. Xiao, no, we sit most of the time in our work, unless there are patients or operations. Compared with other physical activity occupations, it is much easier."

   "That's right, but I think you've been too tired recently." Xiao Shikang said.

   Just when Xiao Shikang wanted to continue to say something, a doctor suddenly ran in outside the catheter room.

   Everyone was stunned.

   A doctor running in the hospital means something happened!

   "Xiao Fang, what's the matter? Why are you panicking?" Xiao Shikang knew this young man. He was a CCU doctor in the Department of Cardiology.

  Xiao Fang saw Xiao Shikang, the nervous expression on his face eased a little, and walked towards Xiao Shikang quickly.

   "Mr. Xiao, help me see Zhang's electrocardiogram." Xiao Fang stepped forward, holding an electrocardiogram in his hand.

  Although Xiaofang is also a cardiologist, he is the most professional electrophysiologist in terms of his ability to judge images.

  Xiao Shikang frowned and gently picked up this electrocardiogram.

   "Mr. Xiao, this is my dad's electrocardiogram." Xiao Fang said while breathing heavily.

  Lu Chen also came over. He was most interested in looking at the pictures.

  Now, he still occasionally judges pictures in the Jinghua Electrophysiology WeChat group.

   "Is he feeling unwell?" Xiao Shikang glanced at him and handed the electrocardiogram to Lu Chen.

Xiao Fang thought for a while and said, "In the past year, he has been suffering from palpitation and chest tightness repeatedly. He used to do manual labor and had long-term bradycardia, with a heartbeat of about 40-50 beats per minute. Oh, yes, one of my uncles also has it. History of this slow heart rate."

  The normal heart rate is 60-100 beats per minute.

   However, it is normal for physically active people and athletes to have a slower heart rate than normal.

"But in the past week, my dad has often felt tachycardia. The symptoms of palpitations are more obvious each time, and he is weak and unable to stand. He had another attack an hour ago, so I sent him to the emergency department of the hospital, and now he is lying down. In the observation room of the emergency department."

   After learning about the condition, Xiao Shikang nodded slightly and said: "From the picture, it is obvious that the J wave is elevated in leads II, III, and AVF. Have you checked the myocardial enzymes?"

   "I checked, it's negative." Xiao Fang said.

   "That shouldn't be a myocardial infarction, so check again in three hours." Xiao Shikang said.

   In the case of a cardiac infarction, cardiac enzymes increase four hours after the onset of the disease.

   "Mr. Xiao, this J wave is raised, I remember early repolarization syndrome, right?" Xiao Fang whispered.

"Well, not bad." Xiao Shikang nodded slightly, "Just from the ECG you gave, the heart rate is not particularly slow, 54 beats/min, and there is no ST-segment elevation, only J waves in the inferior leads. Elevation. Because I haven't done a dynamic electrocardiogram, I don't know other conditions for the time being. But combined with the family history, it is very clear that it is early repolarization syndrome."

   "Early repolarization syndrome is a benign disease, and you don't have to worry too much. However, you still need to improve the relevant examinations, such as dynamic electrocardiography and cardiac ultrasound."

   Hearing Xiao Shikang's words, Xiao Fang was slightly relieved.

   He just graduated and stayed at the First Affiliated Hospital of Kyoto University. The future is bright.

  I live a prosperous life, but I am afraid that my parents will get sick.

   "Thank you Mr. Xiao, I am relieved to hear what you said."

  Xiao Shikang smiled and said, "Let's do a dynamic electrocardiogram and an echocardiogram first."

"it is good."

  This is also because he met his colleague, so Xiao Shikang dared to say so bluntly.

  If he was facing a patient, he would not dare to say that if Xiao Shikang borrowed a few more courage.

  Lu Chen had been listening to the conversation between the two of them. He held Xiao Fang's electrocardiogram in his hand and read it carefully.

   Just when Xiaofang took the electrocardiogram and wanted to leave, Lu Chen made a sound.

   "Mr. Xiao, look at this picture again, there seems to be a J wave on the front wall?" Lu Chen said slowly.

  Xiao Shikang smiled, "I also noticed that there are J waves on the front wall, but it's not a big problem. Many young people have this phenomenon."

  Lu Chen frowned deeply and said solemnly, "Mr. Xiao, I don't think it's that simple."

  Xiao Shikang was slightly taken aback when he saw Lu Chen's expression, did he see something unusual?

   "Lu Chen, do you have any other opinions? You can directly say that this is Fang Ming, a resident physician in the CCU ward of our Cardiology Department." Xiao Shikang said.

  Xiaofang doesn't come to the catheterization room very often and doesn't know Lu Chen, so he quickly said, "Mr. Xiao, this is your advanced student? He looks so young!"

"He's not an advanced student." Xiao Shikang smiled and said, "If it's my advanced student, it's really burning incense. His name is Lu Chen, a student of the electrophysiology training class. This month, he will be assessed in our catheterization laboratory. ."

   "Oh. I see!" Xiao Fang suddenly realized, "Is that the epicardial ablation of the dry pericardiocentesis some time ago?"

   "Yes." Xiao Shikang smiled.

   "It's amazing!" Xiaofang gave Lu Chen a thumbs up, and his impression of him changed a bit. He thought he was a doctor in training, so he didn't need to pay too much attention to his opinion.

   But after finding out Lu Chen's identity, Xiao Fang became a little nervous again, "Doctor Lu, if you have any other diagnostic opinions, you can tell me."

   "Let's take a look at the patient first." Lu Chen looked up at Xiaofang. .

   It is very one-sided if it is separated from the clinic and judged by itself.

  Although Xiaofang described the medical history in great detail, Lu Chen still wanted to see the patient in person.

  Xiao Fang was naturally very happy, but he didn't expect Lu Chen to be so enthusiastic, he actually took the initiative to invite Ying to see his father.

   He hurriedly said, "That won't disturb your work, will it?"

   Then Xiao Fang glanced at Xiao Shikang.

   "It's okay, there is no operation this morning, so there will be an operation this afternoon." Xiao Shikang said, "Lu Chen, if you want to go see it, then you can go."

"Um."

  Lu Chen nodded, then left the catheterization room with Xiaofang and went to the emergency department.

   (end of this chapter)