I Can See Health

   Chapter 468 Refused to check! (third more)

   "Intuition?" Sun Guoguo shook his head helplessly.

   This kind of thing is metaphysics.

   You can't believe it, but you can't completely reject it either.

   "Junior brother, intuition is sometimes very prepared, but we clinicians can't rely on this!" Sun Guoguo said earnestly.

   "Don't worry, Senior Sister, I have my senses." Lu Chen nodded slightly.

   This time, if it wasn't for the reminder of his health, he probably wouldn't think about it this way.

   At this moment, Fan Yujing also came out of the office.

  Sun Guoguo's eyes were sharp, and he saw her at once.

   She hurriedly stepped forward and said, "Mr. Fan, I have seen the patient you asked for consultation."

   "How is it?" Fan Yujing said indifferently, "Is there a high possibility of aortic dissection?"

  Sun Guoguo paused and said slowly: "From the existing examination and clinical evidence, the possibility of dissection is not high, but it cannot be completely ruled out. If necessary, aortic CTA can be done to rule it out."

  Sun Guoguo, many possibilities remain.

Fan Yujing frowned. She didn't like this "Tai Chi-style" opinion, so she continued: "Then do you think this aortic CTA is necessary? Lu Chen said, it is best to improve the aortic CTA. ."

   In clinical practice, it is not to suspect a certain disease, but to do the corresponding examination.

  Otherwise, every patient who comes to the hospital will have to do all the examinations on the whole body.

  Sun Guoguo didn't answer immediately. After thinking for a while, he said, "I think it is necessary to make one."

When Sun Guoguo's words came out, not only Fan Yujing was stunned, but even Lu Chen was absent-minded for such a moment.

   He didn't expect that Senior Sister would actually trust his own intuition so much.

  Fan Yujing also said solemnly: "That's okay, Dr. Sun, please write down your consultation opinion."

   "Okay, I'll go back to the medical records later." Sun Guoguo glanced at Lu Chen, "Junior brother, then I'll go back first."

   Then, Sun Guoguo greeted Fan Yujing and left.

  …

  Fan Yujing frowned, she didn't expect Sun Guoguo to care so much about Lu Chen's opinion.

   It seems that Lu Chen's influence in the Cardiology Department is far beyond her imagination.

   At this time, Sun Guoguo, who had left the respiratory department, was also surprised.

  Fan Yujing is notoriously difficult to get along with, but judging from her attitude towards Lu Chen, she doesn't seem to be as cold as rumored!

  …

   Go back to the respiratory doctor's office.

   At this time, Mei Yejun was guarding the door, and when he saw Lu Chen and Fan Yujing coming back, he immediately went up to them.

   "Mr. Fan, Brother Lu, this is one of my uncles."

  Beside Mei Yejun, stood a middle-aged uncle who was about forty years old.

   "He is also a doctor and wants to know about my dad."

   "Lu Chen, please communicate with him." After speaking, Fan Yujing walked back to the office.

   The middle-aged uncle frowned and asked the students to communicate with him about his condition. This attitude...

   "Hello." Lu Chen said, "What do you want to know?"

  The middle-aged uncle held his temper and said solemnly, "I'm a doctor in the Cardiology Department of the Central Hospital, Mei Youjun."

   "The Cardiology Department of the Central Hospital?" Lu Chen thought, "This seems to be the hospital in Bogota."

   But Mei Yejun has relatives in the central hospital, why did he go to the Jinghua Second Hospital to be hospitalized?

   Just listen to Mei Youjun continue: "I want to know, why did you diagnose my brother with the possibility of aortic dissection? Do you know what it is?"

  Lu Chen frowned, the visitor is not good!

   However, he knew that his diagnosis this time was not particularly tenable.

  Lu Chen patiently said: "Dr. Mei, we said before that aortic dissection cannot be completely ruled out, so it is recommended to improve aortic CTA."

  Mei Youjun laughed and said, "The pulmonary embolism will also cause chest pain and hemoptysis. Why don't you suggest a pulmonary artery CTA?"

  Lu Chen said seriously: "Because the patient's D-dimer is negative, pulmonary embolism can basically be ruled out."

   Mei Youjun raised his brows.

   "Not bad, I know this."

   At this time, Mei Yejun pulled Lamei Youjun's sleeve, "Uncle, Senior Brother Lu said before, he just suggested a test, he didn't say it was 100% confirmed."

Mei Youjun turned his head and said: "Xiaojun, you haven't entered the clinic yet, and you have little experience. It is unlikely that your father has aortic dissection. I don't think aortic CTA is necessary now. Lower the blood pressure first, after the blood pressure stabilizes. , do a bronchoscopy first."

  Mei Yejun frowned and did not speak.

   Outside the office, the atmosphere was eerily quiet.

Lu Chen was the first to break the silence, "Sister, it's up to you to choose whether or not to do aortic CTA. As your father's doctor in charge of the bed, I just give my advice. If you refuse to do aortic CTA, just sign the letter. ."

After   , Lu Chen walked into the doctor's office without looking back.

   Outside the office.

  Mei Youjun looked at Lu Chen's retreating back, but his brows were furrowed, and he turned to Mei Yejun and said, "Xiaojun, don't do the check first, lower your blood pressure, and then do a bronchoscopy."

  Mei Yejun contacted her mother who was out of town before, and her mother asked her to obey her uncle's arrangement.

   Seeing her uncle's unquestionable eyes, she could only nod her head in agreement.

  …

   Back to the doctor's office.

  Lu Chen could only sigh helplessly.

  After Mei Yejun refused to go out for aortic CTA, Lu Chen asked her to sign the informed consent.

   This diagnosis is not understood, but it is normal.

   "Junior brother, go and measure the patient's blood pressure again." Lu Chen turned around and said to Wang De.

  Wang Defa immediately picked up the automatic blood pressure monitor and went to the ward.

   Within two minutes, Wang Defa walked back quickly.

   "Brother, the patient's right blood pressure is 175/98mmHg, and the left blood pressure is 170/90mmHg."

   "The blood pressure hasn't dropped yet!" Lu Chen looked at the doctor's order on the computer.

   At present, three antihypertensive drugs have been used, but the magnitude of blood pressure drop is still not obvious.

   "Let's observe again." Lu Chen thought.

  …

  The morning time passed quickly.

   But Mei Yejun's father's blood pressure still did not drop to 160/80mmHg.

   This made Mei Youjun a little anxious.

   He went directly to the doctor's office, found Lu Chen, and said, "Why don't you just use an intravenous pump. The antihypertensive drugs you are using now are not very useful!"

  Lu Chen frowned, "Have you been using intravenous antihypertensive drugs?"

   The antihypertensive effect of the intravenous pump is very fast, but the duration is very short. After the antihypertensive drugs are withdrawn, the blood pressure will rise!

   And oral drugs to lower blood pressure, although the onset is slow, but the duration of blood pressure is long.

   "Aren't we going to do a bronchoscopy soon?" Mei Youjun snorted coldly, "You don't know how to work around?"

  Lu Chen shook his head, "If aortic dissection is diagnosed, then there is an indication to use an intravenous pump. But not yet."

   Even though Lu Chen has used an intravenous pump to lower his blood pressure now, after the drug is withdrawn, his blood pressure will rise again without incident.

   At this moment, Mei Yejun suddenly hurried into the office.

   "Brother, my dad's chest hurts again!"

   Make up for yesterday, there are two more chapters

   (end of this chapter)