Chapter 698: Lu Chen Was Complained About!

The advantage of being a hospital chief is that you can manage yourself most of the time.

No need to manage patients, no need to make rounds.

After talking to Lu Zhifeng on the phone, Lu Chen started to read the literature in the lounge.

Although the thesis has come to an end, Lu Chen's habit is to learn the latest hot literature every day.

With the help of the "Literature Reading" skill card, Lu Chen can absorb all kinds of clinical and scientific research hot knowledge at the fastest speed.

Current medical exploration is developing rapidly.

More and more diseases are being discovered one after another.

There are also some pathogenesis that was not clear in the past, which have also been studied by scientific researchers.

As a clinical doctor, if you are only satisfied with the existing knowledge, you will definitely fall behind.

...

However, Lu Chen had only read two articles when the hospital chief's special phone rang.

Another emergency consultation!

Emergency consultation of the Department of Gastroenterology. The doctor in the other department suspected that the patient had a myocardial infarction.

Lu Chen did not delay at all and immediately rushed to the Department of Gastroenterology.

It's really not quiet!

By the way, the phone ringtone has not been changed yet. Lu Chen thought that after seeing this patient, he must change the ringtone!

Came to the second ward of the Department of Gastroenterology.

Lu Chen quickly saw the patient for consultation.

He was a middle-aged man who was admitted to the hospital last night because of stomach pain after drinking.

The emergency department suspected that it was a gastrointestinal disease, so he was admitted to the Department of Gastroenterology.

The electrocardiogram was normal when he was admitted to the hospital, but the abdominal pain worsened today. The electrocardiogram was rechecked, and the ST segment of the inferior wall lead of the electrocardiogram was elevated!

The myocardial enzyme was rechecked, and the results were all elevated!

"Acute inferior wall myocardial infarction!" Lu Chen immediately diagnosed, "I need to do PCI immediately!"

"Doctor, you said I have a myocardial infarction?" The middle-aged man was a little unbelievable, "I know the disease of myocardial infarction. My uncle had a myocardial infarction. He had chest pain at the time! But I don't have chest pain at all. I just have stomach pain. It hurts here! How could I have a myocardial infarction!"

As he said, the man pointed to his stomach, his face full of confusion.

"Who said myocardial infarction must be accompanied by abdominal pain? Abdominal pain is definitely not myocardial infarction?" Lu Chen asked back.

"But myocardial infarction is a heart disease. How can it be possible that the heart doesn't hurt but other parts hurt!" The middle-aged man was still stubborn.

Lu Chen frowned and said, "Then I'll tell you now, myocardial infarction can occur in many places. In addition to chest pain, it can radiate to the left shoulder, left upper limb, inner side of the left upper arm, fingers and ring finger. Some people even only have tight throat, tongue pain and toothache."

"There are people who go to the dentist for toothache and finally find out that it is myocardial infarction!"

The middle-aged man shook his face and crossed his arms, "Don't say anything. No matter how much you say to scare me, I don't believe it anyway!"

Generally, when encountering such patients, Lu Chen will not indulge them.

Lu Chen said expressionlessly: "Myocardial ischemia during myocardial infarction, excessive accumulation of metabolites in the myocardium, stimulating the afferent fibers of the cardiac autonomic nerves, leading to increased excitement of the somatic sensory neurons, causing referred pain in different parts of the body."

"Abdominal pain and other gastrointestinal symptoms may be caused by necrotic myocardium stimulating the vagus nerve during inferior myocardial infarction, causing gastrointestinal symptoms, etc."

The middle-aged man turned his head away and ignored Lu Chen.

"At present, your symptoms, troponin, and electrocardiogram results are highly suggestive of acute myocardial infarction. Just because you don't believe it doesn't mean it doesn't exist." Lu Chen said, "Myocardial infarction requires emergency surgery. Contact your family members and ask them to come quickly."

"No, I don't have any family members."

Lu Chen was not angry either, and said lightly: "I'm telling you so much because I'm a doctor and you're a patient. I have an obligation to explain your condition to you. As for whether you believe it or not, whether you treat it or not, or whether you say it's not nice, what does it have to do with me?!"

After explaining a few words, Lu Chen left.

When you meet such a patient, you really can't argue!

The head doctor of the gastroenterology department was also helpless about this patient. "Doctor Lu, this person is like this, a middle school teacher. We talked about the condition once, but he didn't believe it at all, and he didn't even ask his family to come over."

Lu Chen was quite helpless, "Since the patient doesn't believe it, let him sign."

"Sign? He really didn't even take a pen!" The gastroenterologist's expression was also very helpless.

"Then you still have to pay special attention. Although his general condition is okay, it is an acute myocardial infarction after all, and the risk is very high." Lu Chen said, "Report to the medical department, or contact their school leaders to deal with it."

"Alas, this is the only way."

Meeting such a weird patient, the gastroenterologist is also unlucky.

Lu Chen finished writing his consultation opinion, and before he walked out of the doctor's office of the gastroenterology department.

A call from the medical department came.

When Lu Chen received the call, he was not well.

He was complained by the patient of the gastroenterology department just now!

On the phone, Lu Chen naturally recounted the whole thing.

The medical department would not embarrass Lu Chen. They said a few simple words and hung up the phone.

Each ward is monitored, and there are medical records as evidence.

It's not that whoever complains is right!

However, even so, Lu Chen was still shocked by this kind of patient.

It can only be said that such paranoid patients often have a poor prognosis!

Back to the CCU lounge.

Lu Chen changed the ringtone of his dedicated mobile phone as soon as possible.

It's time to say goodbye to "Mouse Loves Rice".

...

It was a coincidence when I was having lunch.

Lu Chen met the doctor from the gastroenterology department in the cafeteria.

As soon as they met, he complained: "Dr. Lu, after you left, the myocardial infarction patient made a fuss in our ward. Finally, I called the security guard over and asked him to sign for discharge. "

Lu Chen just spread his hands and said, "There is nothing we can do. We are really powerless with this kind of patient."

"I agree with both hands!" the gastroenterologist sighed slightly.

After finishing lunch, Lu Chen did not go back to the CCU, but went back to the dormitory to rest.

The dormitory is not far from the inpatient department. If necessary, he can arrive at any time.

…

Just returned to the dormitory.

Lin Shumin rushed over.

"Lu Chen, I heard that you are careful about the general resident of the internal medicine department?" Lin Shumin also looked at Lu Chen in surprise.

When he heard the news, he was shocked.

When did the Department of Cardiology allow Ph.D. students to serve as chief residents? !

"Oh, stop talking, I was deceived too." Lu Chen shook his head helplessly.

Lin Shumin smiled, "I want to be the chief resident, but the hospital won't let me! This is a good opportunity. I heard the monthly salary is quite high!"

The monthly subsidy for a PhD student, UU Reading www.uukａnshu.net, is pitifully small, only more than a thousand yuan, which is just enough for living expenses.

Lin Shumin's tutor is not very reliable either, and his usual subsidies are pitiful.

He does not mean that.

Lu Chen thought for a while, then raised his head and said to Lin Shumin: "Senior brother, you are in my scientific research team, and I will give you a corresponding subsidy every month. Although it is not much, you can usually improve your food."

Lin Shumin heard this and waved his hands quickly, "Lu Chen, don't get me wrong, I didn't mean it this way. What's more, if the paper can be published this time, the hospital will also receive generous rewards!"

Speaking of papers, Lu Chen thought that the magazine's response would be in the next few days.

He turned on the computer and clicked on the email. There was indeed an unread email.

－－－－－－Digression－－－－－

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