I Can See Health

Vol 2 Chapter 716: Barriers between disciplines (third more)

Chapter 716 Barriers between disciplines (third more)

Lu Chen has no doubts about the annual salary of one million.

The academic leaders of large private hospitals basically start with this annual salary, which does not include research start-up funds, settlement expenses, etc.

Discipline leader, this title already represents a lot of things, ordinary director, expert professor level tasks, can not bear this title.

However, the current environment in China is still dominated by public hospitals.

Although private hospitals have also developed by leaps and bounds in recent years.

For example, the well-known private hospital in the cardiovascular field, the Asian Heart Hospital, its diagnosis and treatment level can be ranked in the country, but most of the overall medical resources are tilted towards public hospitals.

Lu Chen, as a traditional Chinese doctor, certainly has this idea.

Most of the medical students in Huaxia, the first choice after graduation, may not be a private hospital.

However, Lu Chen still smiled and said, "Thank you, I will consider it."

Zou Wei saw that Lu Chen didn't have such thoughts, and was slightly disappointed.

From his own disease, he has already seen that Lu Chen will definitely be a big shot in the medical field in the future.

And his uncle Zou Yi was full of praise for Lu Chen.

If Lu Chen could come to his private hospital, he would wake up laughing from a dream!

But now it seems that Lu Chen's visit to their private hospital can only be a dream...

As soon as the two of them had a meal, Lu Chen's special hospital machine rang!

…

Lu Chen immediately put down the tableware and answered the phone.

"General surgery, right? Well, I'll be right there!"

Another emergency consultation!

Lu Chen looked at Zou Wei apologetically, "I'm sorry, I'm going to the emergency consultation here, you can eat first, don't worry about me, I'm almost done."

Zou Wei hurriedly said: "Brother Chen, go get busy, don't worry about me."

"Okay." Lu Chen nodded and walked out of the cafeteria immediately.

On the phone, he learned that the patient for consultation was a patient with sudden atrial fibrillation and low blood pressure.

Because some common cardioversion drugs can affect blood pressure, the first treatment for patients with unstable hemodynamics is electrical cardioversion.

Lu Chen did not go to the general surgery department immediately, but called the CCU duty room.

Let the graduate student on duty send him a defibrillator and conductive paste.

ps: Not all departments have defibrillators.

It was the young male graduate student just now who brought a defibrillator to Lu Chen.

"Mr. Lu, when you come back, just put the defibrillator at the CCU nurse station."

"Okay, thank you." Lu Chen patted him on the shoulder, then immediately ran towards the general surgery department.

…

General Surgery Ward 1.

In the face of such a patient with atrial fibrillation and low blood pressure, the doctor in charge is like a formidable enemy.

He did not dare to leave the ward at all, for fear that the patient would die of sudden shock.

Seeing Lu Chen who came with a defibrillator, he breathed a sigh of relief.

"Quickly defibrillate! Quickly defibrillate!" The general practitioner urged several times in a row.

Lu Chen put the defibrillator aside and did not start the defibrillation immediately, but simply gave the patient a physical examination.

The most important thing is to measure a blood pressure!

The patient is generally in good condition, with a blood pressure of 85/54mmHg, and there is no manifestation of shock, just a little flustered.

Lu Chen frowned, his blood pressure was indeed a little lower, but it wasn't as scary as what he said on the phone.

What cardiogenic shock or something.

"Quickly defibrillate!" The general surgeon saw that Lu Chen was slow to act, so he held back and said, "With such a low blood pressure, the danger is too great."

"Wait a minute, blood pressure is actually okay."

"Huh? Still waiting?"

Lu Chen nodded, "The patient's current condition is okay, and there is no sign of shock. I need to see the patient's laboratory report, such as serum potassium."

"I forgot about this, are you in a hurry to see this?" The general surgeon frowned.

"Electrical cardioversion should be used with caution in hypokalemia." Lu Chen explained, "And this patient has no indication that electrical cardioversion is necessary for the time being."

The autonomicity and excitability of cardiomyocytes in hypokalemia are increased, and the conductivity is decreased. At this time, the sensitivity to electric shock increases. If electrical cardioversion is performed, it may lead to more malignant arrhythmias.

Also, if hypokalemia is not corrected, the patient's arrhythmia is usually more difficult to recover.

"Alright, I'll go check serum potassium now." The general surgeon had no choice but to listen to Lu Chen for the time being.

But when he returned to the doctor's office, he saw that the patient's serum potassium was only 2.8mmol/L.

He was also slightly surprised, it was really low.

…

When Lu Chen heard this blood potassium value, he completely dispelled the preparation for electrical cardioversion.

"First add fluids to boost blood pressure, preferably to increase serum potassium to 4mmol/L, so as to minimize the occurrence of arrhythmia." Lu Chen suggested to the general surgeon.

"Is that all?" The general surgeon asked with some doubts, "Is there really no need for an emergency electrical recovery rate?"

"No." Lu Chen shook his head.

"This..." He communicated with the patient's family just now and said that he was going to get an electric shock.

Lu Chen continued: "Electrical shocks are not very traumatic to the human body. If you can't get an electric shock, it's better not to."

"Okay." The general surgeon can only communicate with the patient again.

However, the patient's family understood it better and agreed to use drug treatment first.

"Doctor Lu, you just left?"

The general surgeon glanced at Lu Chen's badge and found that Lu Chen was about to leave.

Lu Chen nodded, "This patient is very young, blood pressure and serum potassium have risen, and atrial fibrillation should be able to recover on its own."

"What if I can't cardiovert it?" the general surgeon said quickly.

"If the blood pressure goes up, you can use amiodarone to cardiovert." Lu Chen said, "If the blood pressure is still low, you can use the blood pressure booster directly, and then use amiodarone."

"Then write it clearly on the consultation sheet."

"no problem."

Lu Chen had no choice but to teach by hand.

Now the specialization is becoming more and more obvious, not to mention the barriers between internal medicine and surgery.

Even between the same disciplines, such as between cardiac coronary intervention and cardiac electrophysiology intervention, there will be many barriers.

The consultation sheet is full of treatment opinions, and the defibrillator is temporarily kept in the general surgery department for backup, so that the general surgery department can replace it later. (CCU has many defibrillators.)

After doing these things, Lu Chen left the general surgery department.

…

Back to CCU lounge.

Lu Chen found a packaged meal on the table outside his home.

took out his mobile phone and saw Zou Wei's message to himself.

He was afraid that Lu Chen would not be full, so he ordered two more dishes in the cafeteria and brought them here.

"This kid can really do something!"

Lu Chen smiled, and he immediately replied "Thank you" to Zou Wei.

Not to mention, I came out for a consultation halfway through the meal and was busy for more than half an hour.

Lu Chen is really hungry!

So, he carried the food, returned to the lounge, and continued to cook.

You can’t do it without cooking!