I Can See Health

   Chapter 786 Epilepsy?

  Lu Chen and Gu Xinyue are old partners.

  After Jin Miao went to the catheterization lab, Lu Chen and Gu Xinyue became a group.

  The cooperation between the two is very tacit.

  Gu Xinyue's clinical ability is also excellent.

  Some common diseases, he has nothing to say.

  As a doctor of Cardiology, Lao Gu quickly adapted to the rhythm of Guanghai First Hospital.

   "Lao Gu, don't you try interventional surgery?"

   Seeing Gu Xinyue enjoying the clinical diagnosis and treatment, Lu Chen wondered.

   A cardiologist can be said to be incomplete if he does not intervene in surgery.

  Gu Xinyue smiled when she heard the words, "To be honest, I'm really not interested in interventional surgery."

   "Huh?" Lu Chen was quite surprised.

  If it's a girl, it's not surprising to think this way, but Lao Gu is a boy, and every boy in the cardiology department should try interventional surgery.

   "Do you remember my CCU at the Second Hospital of Jinghua?" Gu Xinyue asked again.

  Lu Chen nodded, "Of course I remember, we were in a group at the time."

"At that time, I wanted to learn the technique of cardiac ultrasound, but no matter how I practiced or learned it, it was slower than Fatty Cheng." Gu Xinyue said slowly, with a hint of helplessness and bitterness in her eyes, "Afterwards, I slowed down. Give up slowly."

  Lu Chen also remembered this past event, when Gu Xinyue was in embarrassment when he was studying cardiac ultrasound, and he still vividly remembered it.

   "So because of this, you don't want to do it?" Lu Chen frowned.

   "Let's put it that way." Gu Xinyue smiled, "And the clinical practice is also very good. Even without surgery, the disease can be cured!"

   "Yes, it's a good idea to have this idea." Lu Chen smiled.

   His original idea was to let Gu Xinyue experience clinical practice for a period of time, and then arrange him to go to the catheterization room.

   Whether it is TAVR surgery, coronary interventional surgery, or electrophysiological surgery, Gu Xinyue can try it out.

   After all, Gu Xinyue can be said to be Lu Chen's "direct line" troops.

   However, since Gu Xinyue does not want to have surgery, it is not bad to stay in the clinic, and it is a good choice to take time to do scientific research at ordinary times.

   Actually, there is another reason why Gu Xinyue did not choose interventional surgery.

   That is because when he was in Kyoto, it was because of the failure of the interventional operation that his superiors gave him the blame, which led to his resignation.

  …

   One month later.

   The TAVR team of Guanghai First Hospital, headed by Lu Chen, has officially entered the stage of independent surgery.

   Lu Chen's five doctors, including Jin Miao, can perform TAVR surgery independently.

   They all have the foundation of coronary intervention, so learning TAVR technology is quite fast.

   However, all they can do is the simplest TAVR surgery, and they need Lu Chen to supervise.

   For the slightly more difficult operation, Lu Chen himself was required.

   Even so, it has been able to solve a lot of time for Lu Chen.

  The current TAVR surgery is still based on ordinary surgery.

   Everyone on the surgical team can get the best training possible.

  Lu Chen has not been in Guanghai First Hospital for a long time, but the changes brought to the hospital's Cardiology Department are visible to the naked eye!

  Gu Xinyue has become accustomed to the cardiology department of Guanghai First Hospital, and has officially become the attending doctor under Lu Chen's hands.

   "Director Lu, a difficult patient has come, come and have a look!"

  In the department, Gu Xinyue called Lu Chen as Director Lu, but in private he still called him by his original name.

   "Okay, I'll come right over."

  …

  Lu Chen put down the application form for the National Nature Project in his hand.

   He has finished writing the tender, and now he can just wait for the final review.

   came to the ward.

  Gu Xinyue arrived with the graduate students in the group.

   On the ward, a man in his thirties was lying on the bed.

   The health on his head is 64 (--).

   From the appearance, the patient does not have any uncomfortable symptoms.

   "The director is here." Gu Xinyue greeted Lu Chen when she saw Lu Chen walk in.

   "What's the condition of the patient?" Lu Chen immediately asked.

  Lu Chen was accustomed to his status as a superior doctor, and he usually looked at patients with a straight face.

  Gu Xinyue organized the language and handed the patient's medical record to Lu Chen.

   "The patient is 35 years old this year. About 3 years ago, there was no obvious incentive for him to become unconscious and unresponsive. At the same time, his limbs were stiff and convulsed. At that time, the family was very scared and sent to the hospital, but no problem was found."

   "Two months ago, the patient had another seizure. After a series of examinations such as brain MRI and CT, no problems were found. He was diagnosed with epilepsy in another hospital."

   "But less than 2 months after I got home, my condition flared up again, so I came to our hospital."

  Lu Chen nodded slightly.

   The general condition of the patient, he already knew.

   This is a patient whose cause is unclear.

   "Doctor, my husband was working in the factory this morning and suddenly fell ill."

  Beside the ward, the patient's wife was standing, dressed very plainly and speaking a non-standard Mandarin.

   "If it wasn't for the factory friends, maybe something really happened."

   While talking, the patient's family members were still crying.

  Lu Chen nodded, and hurriedly signaled the patient not to get excited, "What happened when the patient first got sick? Can you tell me in detail?"

   "Well." The patient's wife nodded and began to slowly tell about the patient's illness and the process of seeking a doctor.

   Similar to what Gu Xinyue described before, the patient was unconscious every time he had a seizure, his limbs twitched, and after he woke up, he lost a little bit of memory.

   I have seen a doctor in the hospital many times, and checked the brain CT, MRI, EEG, etc.

   A mildly abnormal EEG was detected last time, and epilepsy was diagnosed.

  What is epilepsy? In fact, it is the epilepsy among the rural population.

   The patient will suddenly faint, fall to the ground, convulsions, and foaming at the mouth. It looks scary, but it is actually the result of abnormal nerve discharge in the brain.

   The existing brain CT and MRI cannot detect the lesions, and only some patients can find abnormalities when doing EEG.

   After the last discharge, the patient took some antiepileptic drugs, mainly sodium valproate.

   But not long after he was discharged from the hospital, his condition flared up again!

"We don't think it's a problem to go on like this!" The patient's wife said helplessly, "He is the backbone of the family, and he is sick, which affects his work. Many construction site bosses hear that he has this disease, and they dare not ask him to work. "

  Lu Chen performed a very detailed physical examination on the patient.

  Double lungs, heart auscultation, abdominal examination, nervous system examination, all are normal!

   Is it really epilepsy?

   When Lu Chen thought of this, the system didn't give any hints.

   It seems that this is not the diagnosis!

   After so many years of using the system, Lu Chen can already know the urine properties of the system.

  If the diagnosis is correct, you will definitely give yourself the corresponding system to complete the upgrade!

  …

   Back to the doctor's office.

   Everyone sat together, Gu Xinyue thought for a while, and took the lead: "Could it be some kind of arrhythmia? For example, paroxysmal ventricular tachycardia, etc."

  The neurological symptoms caused by arrhythmia are called Aspen syndrome.

  Because of severe arrhythmia, it may be impossible to continue pumping blood, and the brain is severely ischemic in a short period of time, causing brain dysfunction, so there will be convulsions and disturbance of consciousness.

   "Arrhythmia?" Lu Chen had seen a similar patient when he was in Kyoto.

   The patient at that time had neurological symptoms caused by arrhythmia!

   But when he thought of this diagnosis, the system still had no hint!

   "It doesn't seem to be the diagnosis." Lu Chen frowned.

  The examination of the nervous system was normal.

   What would it be?

   (end of this chapter)