Chapter 712: Barriers Between Disciplines

Lu Chen has no doubts about the figure of one million yuan in annual salary.

The academic leaders of large private hospitals basically start with this annual salary, which does not include research start-up funds, resettlement expenses, etc.

The title of academic leader already represents a lot of things, and ordinary directors, experts and professors cannot bear this title.

However, the current environment in China is still dominated by public hospitals.

Although private hospitals have also made great progress in recent years.

For example, the Asian Heart Hospital, a private hospital that is very famous in the cardiovascular field, can also be ranked nationwide for its diagnosis and treatment level, but the overall medical resources are mostly tilted towards public hospitals.

As a traditional Chinese doctor, Lu Chen certainly has this idea.

Most Chinese medical students may not choose private hospitals as their first choice after graduation.

However, Lu Chen still smiled and said, "Thank you, I will consider it."

Zou Wei saw that Lu Chen did not have this intention and was slightly disappointed.

From his own illness, he has seen that Lu Chen will definitely be a big shot in the medical field in the future.

Moreover, his uncle Zou Yi also praised Lu Chen highly.

If Lu Chen could come to his family's private hospital, he would wake up laughing in his dreams!

But now it seems that Lu Chen coming to their private hospital is just a dream...

When the two had just finished their meal, Lu Chen's inpatient special machine rang!

...

Lu Chen immediately put down his bowl and chopsticks and answered the phone.

"General surgery, right? Okay, I'll be there right away!"

Another emergency consultation!

Lu Chen looked at Zou Wei with a little apology, "Sorry, I have to go to the emergency consultation here, you eat first, don't worry about me, I'm almost done eating."

Zou Wei hurriedly said: "Brother Chen, you go and do your work, don't worry about me."

"Okay." Lu Chen nodded and immediately walked out of the cafeteria.

On the phone, he learned that the patient for the consultation was a patient with sudden atrial fibrillation and low blood pressure.

Because some common cardioversion drugs will affect blood pressure, the first treatment measure for patients with unstable hemodynamics like this is electrical cardioversion.

Lu Chen did not go to the general surgery department immediately, but called the CCU duty room.

He asked the graduate student on duty to bring him a defibrillator and conductive paste.

Ps: Not all departments have defibrillators.

It was the young male graduate student who brought the defibrillator to Lu Chen.

"Teacher Lu, when you come back, just put the defibrillator at the CCU nurse station."

"Okay, thank you." Lu Chen patted his shoulder, and then immediately ran towards the general surgery department.

...

General surgery ward 1.

Facing such a patient with atrial fibrillation and hypotension, the attending doctor was like facing a great enemy.

He did not dare to leave the ward at all, fearing that the patient would suddenly go into shock and die.

He was slightly relieved when he saw Lu Chen coming with the defibrillator.

"Defibrillate quickly! Defibrillate quickly!" The general surgery doctor urged several times in a row.

Lu Chen put the defibrillator aside, and did not start defibrillation immediately, but simply gave the patient a physical examination.

The most important thing is to measure a blood pressure!

The patient is in good general condition, with a blood pressure of 85/54mmhg. He does not show any signs of shock, but is a little panicky.

Lu Chen frowned. His blood pressure is indeed a little low, but not as scary as he said on the phone.

Cardiogenic shock or something like that.

"Hurry up and defibrillate!" Seeing that Lu Chen was hesitant to act, the general surgeon held back and said, "The blood pressure is so low, it's too dangerous."

"Wait a minute, the blood pressure is actually okay."

"Ah? Still have to wait?"

Lu Chen nodded, "The patient is in good condition now, and there is no sign of shock. I need to see the patient's test report, such as the serum potassium situation."

"I forgot this, is it urgent to see this?" The general surgeon frowned.

"Hypokalemia should be treated with caution with electric cardioversion." Lu Chen explained, "and there is no indication for this patient to use electric cardioversion for the time being."

When potassium is low, the autonomy and excitability of myocardial cells increase, and the conductivity decreases. At this time, the sensitivity to electric shock increases. If electric cardioversion is performed, more malignant arrhythmias may occur.

Moreover, if hypokalemia is not corrected, the patient's arrhythmia is usually difficult to recover.

"Well, I'll go check the serum potassium now." The general surgeon had no choice but to listen to Lu Chen for the time being.

However, when he returned to the doctor's office, he saw that the patient's serum potassium was only 2.8mmol/l.

He was also slightly shocked, it was really low.

...

Lu Chen completely gave up the idea of ​​cardioversion after hearing this blood potassium value.

"First, replenish fluids and increase blood pressure. It is best to replenish serum potassium to 4mmol/l, so as to minimize the occurrence of arrhythmia." Lu Chen suggested to the general surgeon.

"Is that it?" The general surgeon asked with some doubts, "Is there really no need for emergency cardioversion?"

"No." Lu Chen shook his head.

"This..." He had just communicated with the patient's family and had said that he would give an electric shock, but now he didn't. It was really hard to explain.

Lu Chen continued: "Electric shock is also very traumatic to the human body. If you can avoid electric shock, it is best not to do it."

"Okay." The general surgeon could only communicate with the patient again.

However, the patient's family was more understanding and agreed to use drug treatment first.

"Doctor Lu, are you leaving just like that?"

The general surgeon glanced at Lu Chen's name tag and found that Lu Chen was actually about to leave.

Lu Chen nodded, "This patient is very young. If the blood pressure and blood potassium rise, the atrial fibrillation should be able to convert on its own."

"What if it fails to convert?" The general surgeon hurriedly asked.

"If the blood pressure rises, you can use amiodarone to convert." Lu Chen said, "If the blood pressure is still low, you can directly use pressor drugs and then amiodarone."

"Then write it clearly on the consultation form."

"Okay, no problem."

Lu Chen had no choice but to teach step by step.

Specialization is becoming more and more obvious now, not to mention the barriers between internal medicine and surgery.

Even between the same disciplines, such as coronary artery intervention and cardiac electrophysiology intervention, there are many barriers.

The consultation form was filled with treatment opinions, and the defibrillator was temporarily left in the general surgery department for backup, and the general surgery department would change it back later. (There are many defibrillators in the CCU.)

After doing these things, Lu Chen left the general surgery department.

…

Returned to the CCU lounge. UU Reading www. uukanshu.net

Lu Chen found a packed meal on the table outside his old nest.

He took out his mobile phone and saw the message from Zou Wei.

He was afraid that Lu Chen was not full, so he ordered two more dishes in the cafeteria and packed them up.

"This kid is really good at dealing with things!"

Lu Chen smiled, and he immediately replied to Zou Wei with a "thank you".

Not to mention, he came out for a consultation halfway through the meal and was busy for more than half an hour.

Lu Chen was really a little hungry!

So, he took the food and went back to the lounge and continued to eat.

He had to eat!

If he encountered an emergency rescue at night, he would be hungry again. 　　16377/10447418