Chapter 416: Doing Business and Treating Diseases

Remember [New] in one second!     "Thyroid function?" Yao was slightly startled, and quickly looked through the test results, "Really no..."

"Yes, so this patient must check the thyroid function again." Lu Chen said, "If the heart rate slows down due to hypothyroidism, then there is no need to install a pacemaker."

Hyperthyroidism, the body's metabolic rate increases, which can cause panic and rapid heartbeat.

On the contrary, hypothyroidism, the body's basal metabolic rate decreases, which can cause a slow heartbeat.

At this time, after treating hypothyroidism, the patient's heart rate will naturally increase, and there is no need to install a pacemaker!

As a graduate student in cardiology, Yao Jie must know this, hypothyroidism causes a slow heart rate.

However, treating patients in clinical practice is not like doing a question, giving several options, but requires clinical diagnostic thinking to unravel the mystery and find the patient's final condition.

"Junior sister, this patient needs to check more than just thyroid function." Lu Chen continued, "In addition, we need to check the coronary artery to determine whether the patient's slow heart rate is caused by coronary heart disease. If so, we need to add drugs to treat coronary heart disease. In addition, we need to ask the patient in detail about his medication and whether he takes drugs that lower the heart rate, such as our common beta-blockers."

"Yes." Yao Jie has picked up the small notebook and followed Lu Chen, listening to him and taking notes.

This scene seemed to have returned to the time when she was interning in the eighth area of ​​cardiology at Jinghua Second Hospital.

She did the same, following Senior Brother Lu Chen and listening to him explain various diseases.

Unknowingly, the two walked back to the doctor's office.

"So, this patient, whether to have surgery or not is still a matter of time." Lu Chen said, "Don't rush to talk about the surgery, follow the diagnosis and treatment guidelines, and complete the preoperative examination first."

"Okay, Senior Brother." Yao Jie smiled and nodded.

The two people's words were heard by Wu Lang. He turned back in surprise. If he heard correctly, Lu Chen said that the surgery might not be performed?

Wu Lang frowned. He had seen this patient before, and he had told Yao Jie that the surgery would be performed tomorrow.

Isn't this a slap in the face for Lu Chen?

Although Lu Chen's surgical skills amazed everyone, as a graduate student of Kyoto University School of Medicine, Wu Lang also has his own little pride.

He hurriedly said: "Lu, Lu Chen, Teacher Fang has already told the patient in bed 23 that the surgery will be performed tomorrow morning."

Lu Chen frowned, turned around, and saw a boy with a somewhat feminine appearance.

"Are you sure it was Teacher Fang who said this?" Lu Chen confirmed again. He didn't believe Fang Ruzhang would do such a hasty thing.

"Fang, Teacher Fang said that our patient who needs surgery..." Wu Lang's voice became smaller, and his breath was insufficient.

Lu Chen chuckled, "Then tell me, has Teacher Fang seen this patient in person?"

"Brother, Teacher Fang is still in the catheterization room and has not had time to see this patient." Yao Jie whispered aside.

Lu Chen nodded. He had guessed that Fang Ruzhang had definitely not seen this patient in person. He probably just said that he might need a pacemaker operation, and then the students below took it as an "imperial decree" to execute it.

"I will communicate with Teacher Fang Ruzhang personally about this patient." Lu Chen said.

"Ah? This..." Wu Lang was stunned. Lu Chen was equivalent to rejecting everything he had done before.

...

Just then, a middle-aged man with a big belly, holding a briefcase under his arm, walked into the doctor's office.

"Who is the doctor in charge of bed 23?"

As soon as he entered the doctor's office, the middle-aged man shouted at the top of his voice.

Everyone in the doctor's office looked at the door.

The middle-aged man did not feel awkward at all, but repeated: "Who is the attending physician of bed 23?"

Yao Jie stood up at this time, "Hello, I am the attending physician."

"What are you doing?" The middle-aged man frowned when he saw Yao Jie, why is it such a young doctor, "The first doctor who came over said that he would have an operation and it would be arranged tomorrow. But another doctor just came over and said that the operation might not be done?!"

The middle-aged man's voice was so loud that he wished that everyone in the department could hear it.

Yao Jie bit her lip and didn't know what to say for a while.

Wu Lang on the side shrank his head and said nothing at all, feeling a little happy in his heart, "See, they all come here to ask for punishment!"

"Hello, are you the patient's son?" Lu Chen stood up and said.

The middle-aged man didn't want to pay attention, but seeing Lu Chen's attitude and momentum, he was slightly stunned, then nodded, "Who are you?"

"I'm a surgeon." Lu Chen said, "If your mother can have surgery tomorrow, I'll do it."

Hearing this, the middle-aged man, who was originally a little arrogant, immediately smiled and walked in front of Lu Chen, wanting to pass the cigarette, "Hello, doctor, what's your name?"

The difference between internal medicine and surgery can be seen from this.

Many patients are very polite to surgeons, but internal medicine doctors don't have such a good temper.

Lu Chen frowned slightly and didn't answer the middle-aged man's question, "Sorry, smoking is prohibited in the hospital."

The middle-aged man smiled awkwardly and put the cigarette back.

"Doctor, it's like this, when can you schedule my mother's surgery?!"

"Didn't I tell you that it can't be done for the time being." Lu Chen frowned, "Just now I went to tell your mother that the surgery is pending."

"Ah?" The middle-aged man was stunned. How could a surgeon not want to do surgery and push it out?

"We need to improve the preoperative preparation..." Before Lu Chen finished speaking, he was interrupted by the middle-aged man.

"We have checked in the hospital below. We came here because we think you have good skills and want to do surgery!" The middle-aged man hurriedly said, "Why do you want to check again? Isn't this a waste of time?"

Lu Chen smiled and did not refute immediately, but pulled a chair over, "Uncle, sit down, we will tell you slowly."

Seeing this, the middle-aged man sat down immediately.

"First of all, I am a surgeon. Do you think I will not do the surgery and deliberately delay time?" Lu Chen smiled.

The middle-aged man nodded slightly, "That's what I mean. It's just like doing business. If business comes to you, just do it."

"Uncle, don't make a mistake." Lu Chen said, "Our business is completely different from doing business. In business, we beg you to do it. But we hope you don't come to the hospital."

The middle-aged man smiled, and there seemed to be some disdain in his eyes.

Lu Chen didn't care what the middle-aged man thought, and continued: "Uncle, have you ever thought that your mother doesn't need a pacemaker?"

"But we checked it at the hospital downstairs, and they said that a pacemaker should be installed!" The middle-aged man still held his own point of view.

"I didn't say that the examination you did before didn't count." Lu Chen said, "but there are some necessary examinations that are lacking, and we need to further improve them. If there is no problem in the examination, then we will do the operation."

The middle-aged man paused and hesitated: "Then, when is the earliest time to do the operation?"

"If you cooperate, start the preoperative preparation today, and there will be only two days at most." Lu Chen said.

"Okay, I'll listen to you." The middle-aged man finally gave in.

Lu Chen heaved a sigh of relief after hearing this and smiled at Yao Jie beside him.