Chapter 782 Epilepsy?

Lu Chen and Gu Xinyue are old partners.

After Jin Miao went to the catheterization room, Lu Chen and Gu Xinyue became a team.

The two cooperated very well.

Gu Xinyue's clinical ability is also very good.

He has nothing to say about some common diseases.

As a doctor of cardiology, Lao Gu quickly adapted to the rhythm of Guanghai First Hospital.

"Lao Gu, don't you try interventional surgery?"

Seeing Gu Xinyue's endless enjoyment of clinical diagnosis and treatment, Lu Chen asked in confusion.

A cardiologist who doesn't know how to perform interventional surgery can be said to be incomplete.

Gu Xinyue smiled slightly when she heard this, "To be honest, I'm really not interested in interventional surgery."

"Huh?" Lu Chen was quite surprised.

If it was a girl, it wouldn't be strange to have such an idea, but Lao Gu is a boy, and boys in the cardiology department should all try interventional surgery.

"Do you remember my previous CCU in Jinghua Second Hospital?" Gu Xinyue said again.

Lu Chen nodded, "Of course I remember, we were in the same group at that time."

"At that time, I wanted to learn the technology of cardiac ultrasound, but no matter how I practiced or how I learned, I was always slower than Fatty Cheng." Gu Xinyue said slowly, with a hint of helplessness and bitterness in his eyes, "Later, I slowly gave up."

Lu Chen also remembered this past event. The embarrassing look of Gu Xinyue when she was learning cardiac ultrasound at that time was still vivid in his mind.

"So you don't want to do it because of this?" Lu Chen frowned.

"You can say that." Gu Xinyue smiled, "And the clinical practice is also very good. Even without surgery, it can cure the disease!"

"Yes, it's a good idea to have this idea." Lu Chen smiled.

His original idea was to let Gu Xinyue practice in the clinic for a period of time, and then arrange him to go to the catheterization room.

Whether it is tavr surgery, coronary intervention surgery, or electrophysiological surgery, Gu Xinyue can try it.

After all, Gu Xinyue can be said to be Lu Chen's "direct" troops.

However, since Gu Xinyue didn't want to have surgery, it was good to stay in the clinic. He could also do some scientific research in his spare time. It was a good choice.

In fact, there was another reason why Gu Xinyue didn't choose interventional surgery.

That was because when he was in Kyoto, his superiors blamed him for the failure of the interventional surgery, which led to his resignation.

...

One month later.

The TAVR team of Guanghai First Hospital, led by Lu Chen, officially entered the independent surgery stage.

The five doctors under Lu Chen, including Jin Miao, can perform TAVR surgery independently.

They all have the foundation of coronary intervention, so they can learn TAVR technology quickly.

However, they can only do the simplest TAVR surgery, and they need Lu Chen to supervise them.

For slightly more difficult surgeries, Lu Chen has to do it himself.

Even so, it can save a lot of time for Lu Chen.

At present, TAVR surgery is still mainly ordinary surgery.

Everyone in the surgical team can get the best training.

Lu Chen has not been in Guanghai First Hospital for a long time, but the changes he has brought to the hospital's cardiology department are visible to the naked eye!

Gu Xinyue has become accustomed to the environment of Guanghai First Hospital's cardiology department and officially became the attending physician under Lu Chen.

"Director Lu, a difficult patient has come. Come and take a look!"

In the department, Gu Xinyue called Lu Chen Director Lu, and still called him by his original name in private.

"Okay, I'll be there right away."

...

Lu Chen put down the application for the National Natural Science Foundation of China in his hand.

He has finished writing the bid, and now he just needs to wait for the final review.

Came to the ward.

Gu Xinyue arrived with the graduate students in the group.

In the ward, a man in his thirties was lying on the bed.

The life value on his head was 64 (--).

From the outside, the patient did not have any uncomfortable symptoms.

"The director is here." Gu Xinyue saw Lu Chen coming in and greeted him.

"What's the patient's condition?" Lu Chen asked immediately.

Lu Chen has been accustomed to his role as a senior doctor, and he is usually very strict when seeing patients.

Gu Xinyue organized the words and handed the patient's medical records to Lu Chen.

"The patient is 35 years old this year. About 3 years ago, he became unconscious and unresponsive without obvious causes. He also had stiff limbs and convulsions. His family was very scared at the time and sent him to the hospital, but no problems were found."

"Two months ago, the patient had another attack. A series of examinations such as cranial MRI and CT were performed, but no problems were found. He was diagnosed with epilepsy in another hospital."

"But less than 2 months after returning home, the disease recurred, so he came to our hospital."

Lu Chen nodded slightly.

He already knew the general situation of the patient.

This is a patient whose cause of unconsciousness is to be investigated.

"Doctor, my husband was working in the factory this morning and suddenly fell ill."

Next to the ward, the patient's wife was standing. She was dressed very simply and spoke not very standard Mandarin.

"If it weren't for the factory friend next to me, something might have really happened."

As he spoke, the patient's family member was still crying.

Lu Chen nodded and quickly signaled the patient not to get excited, "What was the patient's first attack like? Can you tell me more about it?"

"Yes." The patient's wife nodded and began to slowly tell the story of the patient's onset and medical treatment process.

Similar to what Gu Xinyue described before, the patient was unconscious every time he had an attack, his limbs twitched, and after waking up, he had no memory at all.

He went to the hospital for treatment many times, and had brain CT, MRI, EEG, etc. checked.

The last time, a mild abnormal EEG was found and diagnosed as epilepsy.

What is epilepsy? In fact, it is the epilepsy in rural population.

The patient will suddenly faint, fall to the ground, twitch, and foam at the mouth. It looks scary, but it is actually the result of abnormal discharge of brain nerves.

The existing brain CT and MRI cannot find lesions, and only some patients can find abnormalities when doing EEG.

After being discharged from the hospital last time, the patient took some anti-epileptic drugs, mainly sodium valproate.

But not long after being discharged from the hospital, the disease recurred!

"We think it's not a good thing to go on like this!" The patient's wife said helplessly, "He is the pillar of the family. He is sick and it affects his work. Many bosses on construction sites dare not hire him to work after hearing that he has this disease."

Lu Chen gave the patient a very detailed physical examination.

Lung and heart auscultation, abdominal examination, and nervous system examination are all normal!

Could it really be epilepsy?

When Lu Chen thought of this, the system did not give any prompts.

It seems that this is not the diagnosis!

After so many years of using the system, Lu Chen already knows the nature of the system.

If the diagnosis is correct, it will definitely upgrade the corresponding system!

...

Back to the doctor's office. ＵＵRead ｗww.ｕｋｎshu.net

Everyone sat together. Gu Xinyue thought about it and took the lead to say: "Could it be some kind of arrhythmia? For example, paroxysmal ventricular tachycardia, etc."

The neurological symptoms caused by arrhythmia are called Aspergillus syndrome.

Because severe arrhythmia may not be able to continue pumping blood, the brain is severely ischemic in a short period of time, causing brain dysfunction, so there will be convulsions and impaired consciousness.

"Arrhythmia?" Lu Chen had also seen a similar patient when he was in Kyoto.

At that time, the patient had neurological symptoms caused by arrhythmia!

But when he thought of this diagnosis, the system still did not give any prompts!

"It seems that this is not the diagnosis." Lu Chen frowned.

The neurological examination was normal.

Then what could it be? 　　16377/10531787