I Can See Health

   Chapter 702 Lu Chen was complained! (fourth more)

The general advantage of    hospitalization is that most of the time, you manage yourself.

   No patient management, no ward rounds.

   After talking with Lu Zhifeng on the phone, Lu Chen started to look up documents in the lounge.

  Although the paper has come to an end, Lu Chen's habit is to study the latest hot literature every day.

   With the help of the "Literature Reading" skill card, Lu Chen was able to absorb all kinds of clinical and scientific research hotspot knowledge at the fastest speed.

  The current medical exploration is developing rapidly.

  More and more diseases are being discovered one after another.

   There are also some pathogenic mechanisms that were not clear in the past, which have also been studied by researchers.

   As a clinician, if you are only satisfied with your existing knowledge, you will definitely become outdated.

  …

   However, Lu Chen had only read two of the documents when the special telephone of the hospital chief rang.

   Another emergency consultation!

   Emergency consultation of gastroenterology department, the doctor in the other department suspected that the patient had myocardial infarction.

  Lu Chen did not delay at all, and immediately rushed to the gastroenterology department.

   It really doesn't stop!

   That's right, the phone's ringtone hasn't been changed yet, Lu Chen thought that after this patient finished, he must change the ringtone!

   Came to the second ward of the Department of Gastroenterology.

  Lu Chen quickly looked at the patient who was being consulted.

   He is a middle-aged man who was admitted to the hospital last night because of stomach pain after drinking alcohol.

   The emergency department suspected a gastrointestinal disease and was admitted to the gastroenterology department.

   The electrocardiogram on admission was normal, but today the abdominal pain intensified, and the electrocardiogram was rechecked, and the ST segment of the inferior leads of the electrocardiogram was elevated!

  Rechecked myocardial enzymes, and the results were all elevated!

   "Acute inferior myocardial infarction!" Lu Chen was diagnosed immediately, "PCI needs to be done immediately!"

"Doctor, you said I had a myocardial infarction?" The middle-aged man couldn't believe it, "I know the disease of myocardial infarction, my uncle had a myocardial infarction, and he had chest pain at the time! But I didn't have chest pain at all, I just had stomach pain, It hurts here! How could I have a heart attack!"

   said, the man still pointed to his stomach, his face full of doubts.

   "Who said myocardial infarction must be abdominal pain? Abdominal pain must not be myocardial infarction?" Lu Chen asked back.

   "But myocardial infarction is a type of heart disease. How can it be that the heart doesn't hurt, but it hurts elsewhere!" The middle-aged man was still stubborn.

Lu Chen frowned and said, "Then let me tell you now, there are many places for myocardial infarction, in addition to chest pain, it can radiate to the left shoulder, left upper limb, inner left upper arm, fingers and ring fingers. Some even only have a tight throat and tongue. Pain and toothache."

   "Toothache went to the dentist, and finally found out that it was a myocardial infarction!"

   The middle-aged man shook his face and put his arms around his arms, "Don't talk about it, no matter how much you say to scare me, I don't believe it anyway!"

   When encountering such patients, Lu Chen would not be accustomed to them.

  Lu Chen said with no expression: "Myocardial ischemia during myocardial infarction, excessive accumulation of metabolites in the myocardium, stimulates the cardiac autonomic nerve sensory afferent fibers, leads to increased excitation of somatosensory neurons, and causes referred pain in different parts of the body."

   "Gastrointestinal symptoms such as abdominal pain may be caused by necrotic myocardium during inferior wall myocardial infarction and stimulate the vagus nerve, causing gastrointestinal symptoms, etc."

   The middle-aged man turned his head and ignored Lu Chen at all.

   "Currently your symptoms, troponin, and electrocardiogram results are highly suggestive of acute myocardial infarction. If you don't believe it, it doesn't mean it doesn't exist." Lu Chen said, "Myocardial infarction requires emergency surgery. Contact your family members and ask them to come over quickly."

   "No, I have no family."

Lu Chen wasn't angry either, and said lightly, "I'm telling you so much because I'm a doctor and you're a patient. I have an obligation to explain my condition to you. As for whether you believe it or not, whether it's cured or not, what does it have to do with me? relation?!"

After    explained a few words, Lu Chen left.

   When encountering such a patient, it is really hard to argue!

   The doctor in charge of the gastroenterology department was also very helpless to the patient, "Dr. Lu, this person is just like this. He is a middle school teacher. We talked about his illness once, but he didn't believe it at all, and he didn't call his family over at all."

  Lu Chen was quite helpless, "Since the patient doesn't believe it, let him sign it."

   "Sign? He really doesn't even have a pen!" The gastroenterologist's expression was also very helpless.

   "Then you still have to pay special attention. Although he is generally in good condition, he has an acute myocardial infarction after all, and the risk is very high." Lu Chen said, "Report it to the medical department, or contact their school leaders to deal with it."

   "Oh, that's the only way it can be."

   Encountering such a wonderful patient, the gastroenterologist also has bad luck.

  Lu Chen finished writing his consultation opinion, but he hadn't left the gastroenterology doctor's office.

   A phone call from the medical department came over.

   When Lu Chen received the call, his whole person was not well.

   He was complained by this gastroenterology patient just now!

  On the phone, Lu Chen naturally recounted what happened.

   The medical department would not embarrass Lu Chen, just said a few words and hung up the phone.

   All wards are monitored, and there are records of the course of the disease as evidence.

   This is not who complains, whoever is justified!

   However, despite this, Lu Chen was still surprised by this kind of patient.

   It can only be said that such paranoid patients often have a poor prognosis!

   Back to CCU lounge.

  Lu Chen immediately changed the ringtone of the special mobile phone.

   It's time to say goodbye to "mouse loves rice".

  …

  It was also a coincidence when we had lunch at noon.

  Lu Chen met the doctor of gastroenterology in the cafeteria.

As soon as they met, he complained: "Doctor Lu, after you left, the myocardial infarction patient made a lot of noise in our ward. Finally, I called the security guard over, and he was discharged from the hospital after signing the signature. "

  Lu Chen just spread his hands, "No way, this kind of patient, we are really powerless."

   "I agree with both hands!" The gastroenterologist sighed slightly.

   After finishing lunch, Lu Chen did not go back to CCU, but went back to the dormitory to rest.

   The dormitory is not far from the inpatient department. If there is a situation, he can arrive at any time.

  …

   Just returned to the bedroom.

  Lin Shumin rushed over.

   "Lu Chen, I heard that you are being hospitalized in the internal medicine department?" Lin Shumin also looked at Lu Chen with surprise.

   He was shocked when he heard the news.

  When did the Cardiology Department let the doctoral student be the hospital chief? !

   "Oh, stop talking, I was fooled too." Lu Chen shook his head helplessly.

  Lin Shumin smiled, "I want to be the inpatient chief, but the hospital won't let me! This is a good opportunity. I heard that the monthly salary is quite a lot!"

   The monthly subsidy for a doctoral student is pitifully small, only more than 1,000 yuan, just enough for living expenses.

  Lin Shumin's mentor is not very reliable, and the usual subsidies are pitiful.

He does not mean that.

  Lu Chen thought for a while, then raised his head and said to Lin Shumin, "Senior brother, you are in my scientific research team. I will give you a corresponding subsidy every month. Although it is not much, I can usually improve the food."

  Lin Shumin quickly waved his hand when he heard the words, "Lu Chen, don't get me wrong, that's not what I meant. What's more, if the paper can be published this time, the hospital will also have a generous reward!"

   Speaking of papers, Lu Chen thought that the magazine's response should be these days.

   He turned on the computer, clicked on the email, and there was really an unread email.

   Is there any update?

might have……

   (end of this chapter)