I Can See Health

Vol 2 Chapter 431: on point

   Chapter 431 is right

  Lu Chen returned to the cardiac catheterization room.

  Xiao Shikang asked two questions. At this time, he also learned from Xiao Fang that Lu Chen asked his father to implant an ICD.

   "Lu Chen, what did you think about it?"

   A benign early repolarization syndrome, but someone else has to do surgery to implant an ICD.

   In Xiao Shikang's view, isn't this pure nonsense?

   Could it be that just because he is a surgeon, he encourages others to perform surgery?

  Xiao Shikang was a little puzzled, after so many days of understanding, Lu Chen should not be such a person!

   "Mr. Xiao, I'm not aiming for nothing." Lu Chen patiently repeated what Xiao Shikang had just said to Xiao Shikang.

  Xiao Shikang frowned deeply.

   He knew that early repolarization syndrome had the possibility of being malignant, but he had never paid attention to which form of early repolarization syndrome would be malignant.

   "Lu Chen, is the document you read about early repolarization syndrome still available?" Xiao Shikang said, "Can you send me a copy?"

   "I'll go back and look for it at night. It should still be saved in the computer." Lu Chen nodded slightly, "I'll send you a copy then."

  Because Lu Chen has a "literature reading" skill card, he has dabbled in all kinds of cutting-edge cardiology knowledge.

  …

  The First Affiliated Hospital of Kyoto University, special outpatient clinic for cardiologists.

  Xiaofang took his father, and took the electrocardiogram and other medical records to Qin Sifeng's outpatient clinic.

  Although he is an employee of the same hospital, Xiaofang went to hang up an expert account.

  Professor Qin is a leader in the field of electrophysiology in the hospital, but some experts have a weird temper.

   Qin Sifeng only sees 20 patients a day, and he doesn't add numbers, nor does he cut the queue for acquaintances.

  Xiaofang also got Qin Sifeng's expert number several days in advance.

   Qin Sifeng was very slow to see patients. Xiao Fang waited outside the clinic for a long time before finally getting his father's number.

   "Patient 12, please go to the second consultation room of the specialist outpatient clinic."

  Xiaofang immediately stood up and helped his father up, "Dad, the professor we will see later is one of the most powerful professors in our cardiology department. After letting him see it, I can rest assured."

  Father Fang shook his head helplessly: "Son, I think I'm recovering very well, I've done all the examinations, and there's nothing wrong. I really don't need to see a doctor anymore."

  Xiaofang was unmoved, and continued: "Dad, let's take a look. If there is no problem, then I will be at ease."

   "Hey, that's fine." Fang's father couldn't resist his son, but at the same time he was a little relieved that his son is filial!

   What the old man looks forward to is not a filial piety from his own children?

  …

  Xiaofang supported his father and walked into the consultation room.

   "Professor Qin." Xiaofang called softly.

   Qin Sifeng was lowering his head to sort out the medical records, when he heard the shout, and looked up, he only felt that the young man in front of him looked familiar.

  Xiaofang didn't wear a white coat today, so Qin Sifeng didn't recognize him.

   "Professor Qin, I'm a CCU doctor in the Cardiology Department of our hospital." Xiao Fang introduced himself, "I used to be in your hands for a while."

   Qin Sifeng raised his brows and smiled, "It's you, I said why you look so familiar. What's the matter, who are you taking to see a doctor?"

   "Professor Qin, this is my father." Xiao Fang took out his father's medical records and handed it to Qin Sifeng.

   Qin Sifeng took the medical record with a smile, "You, when I have free time, just go to the department to find me directly, you don't need to bother to come to the outpatient clinic to find me."

   Xiaofang smiled and said, "Professor Qin, I can't break your rules."

   "Rules are dead, people are alive." After speaking, Qin Sifeng opened the medical record book, took out the medical records such as electrocardiogram and cardiac ultrasound, and began to read it carefully.

   After a long while, Qin Sifeng put down the medical record book in his hand.

   He took out a stethoscope, warmed his palms, and then began to perform cardiac auscultation and physical examination on Father Fang.

  The physical examination took about ten minutes before Qin Sifeng said, "The electrocardiogram is an early repolarization syndrome."

  Xiaofang nodded quickly: "Yes."

   "Do you have frequent heart palpitations and chest tightness?" Qin Sifeng looked at Fang's father beside him.

  Father Fang paused and said, "In the past few years, it was fine. I had one or two attacks every year. But recently, the attacks have become more frequent, about once a month."

   "Yes." Qin Sifeng nodded, "I know almost everything about the specifics."

After    finished speaking, Qin Sifeng looked at Xiaofang, "Xiaofang, you are also a cardiologist, so tell me about this early repolarization syndrome."

   "Huh?" Xiao Fang was stunned, but he didn't expect to see a doctor and have to be tested!

   At this moment, Xiaofang seems to have returned to the time of the big rounds of the department.

   "Why, I don't know?" Qin Sifeng glanced at Xiao Fang.

  Xiao Fang was stunned for a few seconds, scratched the back of his head, and then said, "Early repolarization syndrome is relatively common in young people, and it is usually benign."

   "That's all?" Qin Sifeng's expression was a little disappointed, "If you think it's benign, why did you come to see me?"

"This..." Xiao Fang hesitated for a moment, recalling what Lu Chen said to him a few days ago, and slowly said: "However, with the in-depth study of electrophysiological ion channels, many studies have found that malignant The early repolarization syndrome is increasing and is associated with sudden death in young adults."

   Qin Sifeng nodded slightly, "Well, yes, continue."

  Xiaofang paused and continued: "The degree of malignancy may be related to the elevation and shape of the J wave. In addition, if J waves appear in multiple leads, the higher the degree of malignancy..."

   Qin Sifeng nodded while listening, and said to himself, "This young man is quite good."

   When Xiao Fang finished speaking, he said, "You're right, but since you already know all this, you should have something to say about your father's illness in your heart, right?"

  Xiaofang can only nod helplessly.

   He already believed Lu Chen's words in his heart, and he came to Qin Sifeng today just to verify.

   Now that he saw Qin Sifeng's attitude, he basically knew it, and most of what Lu Chen said was right.

   At this time, Qin Sifeng glanced at Fang's father beside him, and then said to Xiao Fang, "If you have the conditions, it is best to make an ICD."

   Hearing this result, Xiao Fang felt bitter in his heart.

   After all, Lu Chenyan was caught!

   "Okay, thank you Professor Qin." Xiao Fang whispered

   "Then I'll give your father a hospital certificate?" Qin Sifeng said.

   "Yeah." Xiao Fang nodded, Professor Qin said so, it must be done.

   Fang's father was still a little overwhelmed. The content of the conversation between the two was all technical terms, and he couldn't understand it at all.

   But when he heard that he was hospitalized, he was a little anxious.

   "Son, do I need to be hospitalized?"

   Xiaofang smiled reluctantly and comforted his father: "Dad, don't worry, it's no big problem, I'll tell you in detail later."

   Fang's father saw this, he could only hold back his temper and wait for Qin Sifeng to finish his hospitalization certificate.

   "That's right." Qin Sifeng handed the hospital certificate to Xiaofang, "If you decide to do it, you can go to the catheterization room doctor Lu Chen, he is not bad."

  Xiao Fang was taken aback, "Professor Qin, do you also know Dr. Lu?"

   "That's right, I'm the teacher of the electrophysiology training class." Qin Sifeng laughed.

   Xiaofang nodded slightly, "Professor Qin, to tell you the truth, Dr. Lu has seen my dad before."

   "Oh, is that so?" Qin Sifeng became interested, "What did he say?"

   "He agrees with you." Xiao Fang said, "What I said just now is actually what he said."

   Qin Sifeng was a little surprised. He didn't expect that in addition to his excellent surgical ability, Lu Chen's basic clinical ability was also so strong, which was really unexpected.

   Most cardiologists are aware of benign early repolarization syndrome.

   As for the malignant ones, I have only heard of them, and I can't say anything at all.

  Xiao Fang secretly sighed in his heart, this Lu Chen is a few years younger than him, but his clinical experience and intervention ability may have left him several blocks away.

  …

   At this time, Lu Chen, who was preparing for surgery, suddenly received a system prompt.

   "Congratulations, +1 for receiving a thank you from Fang Yuan!"

  Lu Chen was taken aback for a moment, he was a little puzzled at first, then relieved.

   It seems that Dr. Xiaofang probably believed what he said and was going to do ICD.

   (end of this chapter)

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