Chapter 240: What Qualifications Do You Have to Touch My Medical Advice?
Seeing that Li Huiyan didn't continue to pay attention to him, Lu Chen didn't care.
Although this cousin has a lively personality, she is not a person who acts recklessly and without regard for the consequences.
Losing weight is a long-term battle, and it is impossible to rely on taking some weight loss pills to be effective.
...
After washing up, Lu Chen lay on the bed.
His consciousness entered the virtual space and began the first stage of clinical research training.
"Damn, why does Lu Chen go to bed so early?"
Wang Zihao glanced at Lu Chen who had already gone to bed, and murmured in his heart.
Everyone usually works in the department and only has time to study when they come back at night.
But Lu Chen goes to bed so early every day, where does he get the time to study?
With the ability Lu Chen has shown so far, he must have spent a lot of time and effort to achieve it.
However, the reality is just the opposite.
As Lu Chen's roommate, Wang Zihao is the one who knows Lu Chen's schedule best.
Every night, he must go to bed before ten o'clock!
Even most of the time, Lu Chen went to bed around nine o'clock.
At this time, the other people in the dormitory were playing games in groups!
However, it was precisely because of Lu Chen's presence that their dormitory developed a better habit of health.
Even when playing games, no one would make a loud noise.
They did not interfere with each other's living habits.
"It's possible. This is the difference between geniuses and others?" Wang Zihao shook his head helplessly, and then continued to read the literature in his hand.
At this time, Lu Chen was constantly training clinical research projects in the system virtual space.
...
The next day.
Lu Chen came to the department early and saw Brother Dong Hao as soon as possible.
"Brother, the operation has been arranged and will start at two o'clock this afternoon." Lu Chen looked at Brother Dong Hao lying on the bed.
However, Brother Dong Hao's face looked a little pale.
"Brother, did you not sleep well last night?"
Dong Hao nodded and said, "Hey, I was panicked in the middle of the night last night. The night doctor gave me an electrocardiogram, and supraventricular tachycardia recurred!"
Hearing this, Lu Chen quickly picked up the stethoscope and auscultated Dong Hao's heart.
"Junior brother, don't be nervous. I've recovered now." Dong Hao forced a smile, "But this attack is not very pleasant. I didn't sleep much all night. Will it affect today's surgery?"
"Generally speaking, it shouldn't affect it." Lu Chen said.
He just finished listening to the heart of Senior Brother Dong Hao. The heart rate was about 70 beats/minute, and the heart rhythm was regular. It should be sinus rhythm.
"Okay, then I'm relieved." Dong Hao said, "Now I think it's better to do this operation earlier. The symptoms are too frequent. Thank you so much, Junior Brother, for helping me advance the medical expenses this time. I will definitely pay you back in time later."
Lu Chen smiled and shook his head: "Senior Brother, there is no rush to pay back the money. The most important thing now is to help you cure your illness! Let's talk about the future."
"Yeah." Dong Hao nodded, "It's time to hand over the shift early. You go and do your work. Don't worry about me."
"Okay."
Looking at Lu Chen's back as he left, Dong Hao felt that the luckiest thing during his rotation in the Department of Cardiology was meeting Lu Chen.
...
Back to the doctor's office.
Except for a few nurses on duty, most of the medical staff have arrived.
After the nurses made a simple handover, the night shift doctor took over.
The night shift doctors last night were attending physician Xia Gang and graduate student He Sirong.
Morning handovers are usually handled by graduate students.
He Sirong took a step forward and said, "Night shift doctor handover..."
"Bed 56 complained of chest tightness and shortness of breath at around 2 a.m., and considered heart failure. Furosemide was given intravenous push. The symptoms improved after about 10 minutes..."
"Bed 3 took over at 6 p.m. and suddenly complained of headache, accompanied by blurred vision. The blood pressure was measured at 220/134 mmhg. Considering hypertensive emergency, urapidil was immediately given intravenous pump..."
"Bed 15 patient complained of palpitations and chest tightness at around 10 a.m. last night, and felt tachycardia. The electrocardiogram showed paroxysmal ventricular appeals. Amiodarone was immediately given intravenously..."
"..."
There were no problems with He Sirong's previous handovers.
But when he handed over the changes in Senior Brother Dong Hao's condition, Lu Chen felt something was wrong!
"He Sirong actually gave Senior Brother Dong Hao amiodarone!" Lu Chen was shocked.
It seems that Senior Brother Dong Hao's surgery today can't be performed!
Lu Chen glanced at Sun Guoguo beside him and found that she also had a serious expression, and her eyes were fixed on He Sirong and Xia Gang.
After He Sirong finished handing over the class, Sun Guoguo walked straight to Xia Gang.
Sun Guoguo's tone was a little cold.
"Doctor Xia, do you know that the patient in bed 15 will have a radiofrequency ablation surgery today?"
Xia Gang was stunned and shook his head slightly, "I didn't see the operating wall, so I'm not sure."
But as soon as he finished speaking, his expression suddenly froze, as if he had thought of something, and immediately turned to He Sirong beside him and said, "Did you use amiodarone on the patient in bed 15 last night?"
He Sirong saw Xia Gang's serious expression and was surprised, then nodded: "Yes, he had a paroxysmal supraventricular tachycardia last night. I did an electrocardiogram to confirm the diagnosis, and then used amiodarone."
Xia Gang's expression suddenly became extremely gloomy.
"Mr. He, why didn't you ask for my opinion before giving this patient a medical order?"
He Sirong whispered: "Brother Xia Gang, this patient has a history of similar disease attacks before. I did an electrocardiogram and it must be a supraventricular tachycardia. What's the problem with using amiodarone?"
Amiodarone is one of the most commonly used antiarrhythmic drugs in clinical practice. It has a wide range of arrhythmias and is widely used.
"Then do you know that the patient is going to have a radiofrequency ablation surgery today?" Xia Gang continued.
"I know!" He Sirong nodded.
Xia Gang snorted coldly, "Then you give amiodarone to a patient who is about to have a radiofrequency ablation surgery? Do you know what the half-life of amiodarone is?"
At this time, He Sirong finally woke up.
Her face flushed red, and it took her a long time to say a word: "I...I..."
The so-called radiofrequency ablation is to induce arrhythmia in the patient before the operation, and then use the equipment to detect the location of the arrhythmia, and finally burn it with electrodes.
Amiodarone is a good antiarrhythmic drug, but it has a long half-life and is easily accumulated in the human body.
This leads to a problem. The patient cannot induce arrhythmia on the operating table.
If arrhythmia cannot be induced, it is impossible to determine where the problem is with the cardiac conduction system!
The operation cannot be performed!
Therefore, amiodarone is prohibited before the patient undergoes radiofrequency ablation.
At this time, in the doctor's office of the eighth district of the Department of Cardiology.
Xia Gang stared at He Sirong and spoke slowly.
"He Sirong, you are a graduate student. Without a practicing physician certificate and without asking a senior doctor, what qualifications do you have to touch my medical advice?"
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