I Can See Health

  Chapter 677 Human Stereotypes

  Modu Second Hospital, outpatient building.

  Lu Chen is now slowly taking over Zhang Shuqing's outpatient position.

   He goes out of the clinic one day a week.

   Zhang Shuqing spends more time on scientific research.

  Today, it was Lu Chen's turn to leave the clinic again.

   In the morning, he bought soy milk and fried dough sticks in the cafeteria and came to the consultation room.

The graduate students in the    group had already come to the consultation room ahead of time to help Lu Chen turn on the computer.

   It feels good to have students helping out!

  Lu Chen remembered that a year ago, he followed Li Yao out of the clinic.

   And now, he can go out of the clinic alone.

   "Mr. Lu, it's time, I'll call the first patient in?" the accompanying graduate student asked.

   Their tasks, in addition to helping teachers to issue doctor's orders and write medical records, also need to maintain order at the scene.

   "Okay, let's call." Lu Chen smiled.

  …

  As Lu Chen's reputation became more and more famous, there were also many patients in the surrounding counties and cities who came to see a doctor.

   In the past, Lu Chen saw up to 30 patients a day.

   But now, there are about 60 patients who call Lu Chen every day!

   More than twice as much as before.

  Lu Chen couldn't help but speed up a bit when he looked at the patient.

  Otherwise, it is impossible to see all the patients that day.

   "Auntie, you have obvious symptoms of chest tightness and chest pain after exercising, and you have high risk factors for coronary heart disease and a history of genetic disease. I suggest you to do an angiography directly."

   "Master, after you change the valve, you need to take warfarin orally for a long time and monitor the INR regularly. Don't forget it!"

   "Uncle, your blood pressure level does not need to take medicine for the time being. You can exercise and control your diet for three months. If your blood pressure is still very high, you need to take medicine!"

  “…”

   The patients in the outpatient clinic mostly have some minor problems.

   If he really encountered a bad disease, Lu Chen would not have such a cheerful tone.

   must have frowned and thought for a while before he started to speak.

   Just like the patient in front of me.

   In Lu Chen's eyes, the old man's HP is only 49 (--)!

   Looking at his inspection report in the outer hospital, Lu Chen frowned deeply.

   The patient's echocardiography showed: extremely severe aortic valve stenosis, the valve orifice area was 0.5 square centimeters, the flow velocity was 5.5 m/s, and the peak pressure difference was 120 mmHg.

  CT showed severe calcified stenosis of the aortic valve, with a calcification score of 2208, and a small amount of pleural effusion and pericardial effusion.

   "Master, what's wrong with you now?" Lu Chen asked.

   "As soon as I move a little, I feel chest tightness, fatigue, and sometimes black eyes."

  The old man explained his symptoms very clearly.

  Lu Chen nodded slightly, "Your main problem is severe aortic valve stenosis!"

   Aortic valve stenosis is very dangerous and can cause arrhythmias (atrial fibrillation, ventricular prematureness, ventricular tachycardia, etc.).

  Some aortic valve stenosis can also cause embolism of the systemic circulation, and the shedding of the emboli may cause stroke, etc. Severe aortic valve stenosis can cause syncope and even sudden death.

  Uncle has already developed amaurosis and syncope. Pleural effusion and pericardial effusion are signs of heart failure decompensation, and sudden death may occur at any time.

   "Doctor Lu, I came to see you this time because I actually wanted to do TAVR surgery!" Meng Xiangsheng looked at the too young doctor in front of him. After hesitating for a while, he still explained his intention.

   When he first arrived at the Second Hospital of the Magic Capital, he was full of expectations for "Lu Chen".

   But when I saw myself, my heart was like a spoonful of cold water was poured.

  Too young!

   If it wasn't for the photo at the door of the clinic, Meng Xiangsheng might have thought that Lu Chen was just a student.

  Why did Dr. Fan Zhiping recommend this kind of doctor?

  Lu Chen didn't notice Meng Xiangsheng's abnormality.

   He was now engrossed in examining the patient.

   "You know about TAVR surgery?" Lu Chen was slightly surprised.

   Generally not a person in the cardiovascular field, and few people know about this new surgery.

   "I'm not a native of Modu, I came from Jinghua." Meng Xiangsheng said softly, "The doctor at the local hospital recommended me to come to you."

   "Jinghua? Came to find me?" Lu Chen was taken aback.

   He flipped through the medical records in the patient's hands.

   Taking a closer look, it's actually Fan Zhiping from Fengm County? !

   Old acquaintance!

   Looking at Lu Chen's expression, Meng Xiangsheng asked suspiciously, "Doctor Lu, do you know Dr. Fan?"

  Lu Chen nodded, "I also came from Jinghua and worked with Fan Zhiping."

   Hearing this, Meng Xiangsheng suddenly realized.

   No wonder Fan Zhiping would recommend Lu Chen to him, so the two knew each other!

   At this time, Meng Xiangsheng didn't quite trust Lu Chen anymore.

   "Since it's a patient from Jinghua, I'll just say it directly." Lu Chen said, "In a state like your father, TAVR surgery needs to be performed within a time limit, otherwise, the state will get worse and worse!"

   "But the operation also has certain risks. If you agree to the operation, now our department just has a bed, and you can go through the admission procedures immediately!"

   If someone told Meng Xiangsheng before seeing Lu Chen that he could be directly hospitalized when he came to the Second Hospital of the Magic Capital, he would definitely be very excited.

   But after seeing Lu Chen, his heart was a little shaken.

   Could it be Jinghua's Fan Zhiping, who has any PY deal with Lu Chen?

  Otherwise, there are so many top hospitals and top doctors in the magic capital, Fan Zhiping does not need to ask him to find such a young doctor!

   "Doctor Lu, let me think about it."

   Meng Xiangsheng's words made Lu Chen stunned.

   Still need to consider?

   Lu Chen noticed Meng Xiangsheng's hesitant gaze.

   It seems that most of them are patients who do not trust themselves very much.

  Lu Chen wasn't too angry either.

   This situation, he has encountered too many times!

  People always have stereotypes about one thing.

   However, Lu Chen didn't explain too much.

  The foundation of a good doctor-patient relationship is trust.

  If the patients and family members in front of you do not trust yourself, there is no need to force them to stay.

  Force stay, if there is really a problem with the operation, it may be more troublesome!

   "That's fine." Lu Chen said to the graduate student beside him, "Call the next patient in!"

  …

  Meng Xiangsheng took his father and walked out of Lu Chen's clinic.

   "Xiangsheng, I actually think this Doctor Lu is very good." Meng Xiangsheng's father said, "He was very serious and careful when he examined me. And the questions he asked me were all targeted."

"Dad, but he's...too young." Meng Xiangsheng frowned, "I think he's in his early twenties, and I don't have much surgical experience, so I'm not at ease asking him to perform surgery on you. ."

   "Hey, your child is usually very smart, why can't you understand it at this time?" Meng Xiangsheng's father shook his head slightly, "Look at these doctors out of the clinic, who is as young as Dr. Lu?"

   "No." Meng Xiangsheng shook his head.

   "That's right, at his age, he can go out to a top hospital like the Second Hospital of the Magic City. Do you think it's easy for Lu Chen?"

  Meng Xiangsheng was stunned for a moment, thinking that his father was right.

   However, preconceived ideas were ingrained in his mind.

  Meng Xiangsheng decided to go to more hospitals and see more doctors. After comparison, he finally chose the best surgeon.

   (end of this chapter)