I Can See Health

Chapter 466: Demon Fan Has Changed

Remember [New] in one second!      Lu Chen did not hesitate and immediately informed the doctor on duty in the respiratory department, and then contacted Fan Yujing.

When such a high-risk patient appears, the first thing to do is to inform the superior doctor.

Fan Yujing was shocked when she heard the news on the phone.

It turned out to be aortic dissection!

Lu Chen, this kid, guessed the diagnosis?

Fan Yujing immediately rushed to the hospital from home. Facing such a high-risk patient, she could not stay at home.

On the other hand, after the doctor on duty in the respiratory department learned that the patient was diagnosed with aortic dissection, he immediately called the cardiology department and the cardiac surgeon for an emergency consultation.

Soon, Sun Guoguo came again!

With her, there was also a cardiac surgeon.

Because the treatment of dissection varies according to the type, the internal medicine department can implant stents, and the surgical department can open the chest and catheterize the entire blood vessel.

However, no matter what method is used, the risk of surgery is extremely high!

And after the operation, it is not a permanent solution. The patient still has a high risk of sudden death!

"I was planning to do a bronchoscopy tomorrow, but luckily I didn't do it!" Lu Chen was still in shock.

Sun Guoguo looked through the patient's CTA images and sighed in her heart.

It really is a dissection!

In fact, she was like Fan Yujing in her heart, and didn't really believe in the diagnosis of dissection, but she was more familiar with Lu Chen and knew that he made his own diagnosis, and it was definitely not aimless, there must be a reason!

"Lu Chen, this patient may have to be transferred to the thoracic surgery department." Sun Guoguo said, "The location of the dissection makes it difficult for us to place a stent in the cardiology department."

Lu Chen nodded slightly. He had little experience in stent placement, so he still had to follow the arrangements of Sun Guoguo and the cardiac surgeon.

At this time, the cardiac surgeon asked: "What are the family conditions of the patient?"

Lu Chen knew what the cardiac surgeon meant.

Dissection surgery starts at at least 200,000.

And it is very likely that both the person and the money will be lost!

Those with poor family conditions may sell their pots and irons to raise medical expenses, but in the end they may lose both the person and the money!

Not only did the person die, but the rest of the family also lived in dire straits.

Lu Chen said, "I'll call the patient's family over later. One of the patient's relatives is a cardiologist at the Central Hospital."

"Okay." Sun Guoguo nodded.

...

Lu Chen quickly went to the ward and called Mei Yejun and Mei Youjun to the doctor's office.

Mei Yejun's eyes were red, as if she had cried.

Mei Youjun didn't say anything at this time, after all, he was not a direct relative.

"Junior sister, have you told your mother about this?" Lu Chen said.

"Yes." Mei Yejun's voice was a little hoarse, "My mother said to have surgery, and she must be cured!"

"Okay." Lu Chen nodded, "This is a cardiac surgery doctor, I'll let him talk to you."

"Well, thank you, Senior Brother Lu."

...

Then, the cardiac surgeon began to talk to Mei Yejun in detail.

Because the patient's condition is critical, the risks of surgery need to be fully explained, and the family members agree to the surgery before the cardiac surgery department will accept the patient.

Surgery generally does not accept patients who do not want surgery.

Lu Chen was not idle at this time.

Since the aortic dissection has been confirmed, the patient's blood pressure of 150/90mmhg is still considered high.

He immediately instructed the nurse to use an intravenous pressure-reducing pump.

At this time, the blood pressure must be controlled below 120/80mmhg.

...

Ten minutes later, Fan Yujing also arrived.

As the senior doctor in the group, Fan Yujing immediately communicated with Mei Yejun after seeing the aortic CTA results.

Such patients, no matter where they go, cannot be in the respiratory department.

Otherwise, when the dissection breaks, it will be bad, and their respiratory department will not be able to solve it.

Fortunately, the family members are more active in treatment, and at Mei Yejun's request, the patient was quickly transferred to the cardiac surgery department.

Lu Chen and Wang Defa did not have time to eat lunch at noon, and helped the patient to go through the transfer procedures together.

"Brother, did you see that it was a dissection?" Wang Defa looked at Lu Chen with admiration.

He witnessed the entire diagnosis and treatment process with his own eyes.

Many senior teachers said that dissection is impossible.

Senior Brother Lu Chen insisted on having the patient undergo an aortic CTA.

This kind of courage is not something that ordinary people can have!

"Didn't I say that, intuition..." Lu Chen could only laugh and perfunctorily pass it off.

After all, he could see the life value. If he told others, no one would believe it!

At this time, a prompt popped up on the system panel.

"Congratulations, received a thank you value +1 from Mei Yejun!"

"Congratulations, received a thank you value +1 from Mei Youjun!"

Lu Chen smiled. Unexpectedly, the doctor from the Central Hospital gave him a thank you value?

...

At this time, in the Department of Cardiothoracic Surgery.

Mei Yejun had already settled his father.

"Xiaojun, don't I have lung disease? Why was I transferred to this department?"

Mei Yejun immediately said: "Dad, your blood pressure is high, Dr. Lu asked you to lower your blood pressure here first, and then do a bronchoscopy."

She hadn't figured out how to explain this to her father.

However, Mei Yejun underestimated her father too much.

How could someone come to the Department of Cardiothoracic Surgery to lower blood pressure?

"Dad, you should have a good rest first. Uncle has to go back to work, I'll go see him off."

"Okay, go ahead."

After that, Mei Yejun closed the door of the ward.

In the corridor outside the ward.

Mei Youjun looked apologetic, "Xiaojun, I didn't think it through and almost delayed it."

As a cardiologist, he knew very well that it was dangerous for a patient with aortic dissection to undergo bronchoscopy.

After all, bronchoscopy is a minimally invasive operation, which is likely to increase blood pressure and aggravate the rupture of the dissection, and the consequences are disastrous!

Mei Yejun shook his head slightly, "Uncle, you don't have to blame yourself. I know you are doing this for my dad's good."

"Hey." Mei Youjun sighed in his heart, "We have to hurry up and have the operation now! Every day we delay, the risk will be greater! I will come to see you tomorrow when your mother comes back."

"Well." Mei Yejun said, "Uncle, if you are busy, go back to the Central Hospital. I will take care of it here. I have already asked for leave."

"Okay, call me if you have anything."

With that, Mei Youjun left Jinghua Second Hospital.

Looking at the sign of Jinghua Second Hospital at the entrance of the hospital behind him, Mei Youjun really didn't expect that a graduate student could have such clinical thinking?

He was able to diagnose this kind of patient with dissection, which really opened his eyes!

Mei Youjun thought to himself: "Even if Min Xiaobo came, he might not be able to tell that this patient has dissection!"

At this time, in the respiratory medicine ward.

When Lu Chen and Wang Defa finished their work, the lunch break was over, and they hadn't had time to eat.

"Gurgle..."

Wang Defa blushed at the protest from his stomach.

Fan Yujing sat aside and heard it, so she said: "Lu Chen, you two have been busy for most of the day today, so take a rest in the afternoon."

Lu Chen didn't refuse. Now the beds in the department are full and no new patients can be admitted.

"Okay, Teacher Fan." Lu Chen said, "My junior brother and I will go back first. If you have anything, you can call me and I will come right away."

Wang Defa also said immediately: "I will come too!"

Fan Yujing nodded slightly: "Okay, you guys go eat quickly."

Then, Lu Chen took Wang Defa out of the respiratory ward.

Walking out of the respiratory ward.

Wang Defa looked at Lu Chen in surprise, "Senior brother, do you know? This is the first time that Teacher Fan has given students a holiday!"

"Really? You didn't have a holiday before?"

"Yes." Wang Defa nodded, "Don't say rest for an afternoon, even if you leave for a while, you have to report to her!"

"Teacher Fan has changed, she is no longer the devil Fan before!"

Chapter 477/970
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