I Can See Health

Lu Chen was still immersed in the joy of passing the elite group assessment.

Suddenly, he received another email.

It was still sent by Jinghua Electrophysiology Association.

When you clicked on the email, you saw a line of small, bold words.

"Congratulations to Mr. Lu Chen for officially becoming a member of the elite group of the Jinghua Electrophysiology Association. I hope that with the joint efforts of everyone, the Jinghua Electrophysiology Association will flourish in the future. The detailed responsibilities and rights of the elite group members are introduced below."

"Responsibilities of members of the elite group: Responsible for the difficult electrocardiogram interpretation of a lower-level hospital..."

"The rights and interests of members of the elite group: free participation in various electrophysiology conferences, free cutting-edge medical information, and regular distribution of electrophysiology association benefits..."

There are quite a lot of tricks!

After reading it, Lu Chen had a preliminary understanding of the responsibilities and rights of the entire elite group of Jinghua Electrophysiology Association.

As the provincial capital, Jinghua is responsible for the diagnosis and treatment of most difficult and difficult patients in the province.

Jinghua Electrophysiology Association is also responsible for the electrocardiogram interpretation tasks of lower-level hospitals.

For some critical or difficult ECGs, lower-level hospitals will send ECG photos through WeChat groups for professional doctors from higher-level hospitals to interpret.

This will not only save medical resources, but also provide greater convenience to patients.

At the same time, it can also promote multi-party exchanges and improve the medical level of lower-level hospitals.

All members of the elite group of Jinghua Electrophysiology Association are assigned to lower-level areas.

Then use the WeChat group to interpret difficult electrocardiograms.

Of course, members of the elite group can refuse to participate in this assistance model.

But correspondingly, there are no various benefits.

Lu Chen was very interested in this model.

Remote interpretation of electrocardiograms should not be counted as diagnosing diseases.

It will not improve the system upgrade completion, but he may be able to get a certain amount of gratitude from it.

Follow the contact information given in the email.

Lu Chen contacted the vice president of Jinghua Electrophysiology Association.

The vice president in charge is the deputy chief physician of the Department of Cardiology at Jinghua No. 1 Hospital.

He assigned Lu Chen the tasks of Pingshui County and Feng M County.

After Lu Chen added the WeChat account of the vice president, he was directly pulled into a WeChat group - Jinghua Electrophysiology Exchange Group 52 (Pingshui, Fengmei).

There are more than two hundred people in the group.

Most of the members in the group are doctors from various county-level hospitals or township health centers.

Usually we have academic discussions on electrocardiograms.

Occasionally, difficult electrocardiograms are interpreted by members of the Electrophysiology Association.

The vice president in charge informed Lu Chen of the specific tasks.

In each group, there are two to three elite group members who are responsible for the interpretation of difficult electrocardiograms.

According to the regulations, Lu Chen changed his group nickname to Jinghua Electrophysiology Association Lu Chen.

After joining a WeChat group with hundreds of people, Lu Chen didn't attract everyone's attention.

"In the near future, the association will send you some electrophysiology magazines and books. Please leave your contact address and check for them."

Lu Chen was very happy to have these benefits when he first joined the membership.

Currently, he urgently hopes to have access to more cutting-edge medical knowledge, but he always feels a little unsatisfied when searching on the Internet.

It would be more reliable if we could gain access to these cutting-edge knowledge through professional learning and formal platforms.

…

Not five minutes after Lu Chen joined the group, someone sent him a WeChat message.

The person who sent the message is a doctor at the Pingshui County Township Health Center.

He did not welcome Lu Chen to join, but sent an electrocardiogram.

"Can any teacher in class please help me analyze this electrocardiogram? Thank you!"

Here comes the work!

Lu Chen's eyes lit up and he immediately clicked on the electrocardiogram in the group.

After taking a look at the electrocardiogram, he frowned.

Sinus rhythm, normal rhythm, p wave, QRS wave, and T wave are all normal.

"Isn't this a normal electrocardiogram?"

"Am I negligent?"

Lu Chen stared closely at the electrocardiogram in the group again.

I pondered it back and forth several times, but still couldn't see any way out.

At this time, the phone vibrated, and someone in the group sent a message again.

This is a doctor from the Department of Cardiology, Pingshui County People's Hospital.

He called the doctor at the township health center upstairs and replied: "Normal electrocardiogram."

Afterwards, the doctor from the township health center immediately replied "thank you".

Lu Chen, who was holding his mobile phone, looked like a subway grandpa looking at his mobile phone.

"That's it?"

Normal... EKG?

Is... is he overthinking?

…

Immediately afterwards, Lu Chen saw electrocardiograms popping up one after another in the group.

However, most of them are "ventricular premature", "atrial fibrillation", "myocardial ischemia", etc.

A slightly more difficult electrocardiogram is supraventricular tachycardia.

These simple electrocardiograms were interpreted by cardiologists from other hospitals.

Lu Chen was about to close the group chat and take a good rest.

Suddenly, another electrocardiogram popped up in the group.

This electrocardiogram was sent by an emergency doctor at Feng M County People's Hospital.

"Teachers, please help us!"

"A male patient whose general fatigue has been worsening for a day has just arrived at the emergency department for an electrocardiogram!"

As soon as this picture was released.

The group suddenly fell silent, and no one made a sound for a long time.

…

Feng M County People's Hospital, Emergency Department.

Zhang Wulong looked at the patient in front of him anxiously.

The patient's condition was extremely poor, with nervousness and cyanotic lips.

On ECG monitoring, the blood pressure was only 154/70mmHg, and the heart rate was only 49 beats/minute.

At this time, the head nurse of the emergency department ran to Zhang Wulong and whispered:

"Doctor Zhang, this patient is a relative of a certain director in the county. The director called just now. We must do our best to save him!"

Zhang Wulong nodded helplessly: "Head nurse, the patient's condition is too serious. We can't find out the cause yet. We have taken all the medicines that need to be used and have invited consultations from cardiology, ICU, respiratory and other departments. ."

"Okay, I understand. UU Reading www.uｕkanshu.net I have contacted the director and he will be here right away." After the head nurse finished speaking, she left.

Zhang Wulong stared closely at the electrocardiogram in front of him.

Before the results of the blood test come out, the most important auxiliary examination is the electrocardiogram.

Asking him to judge some simple electrocardiograms would be fine.

If he encounters this kind of more complicated electrocardiogram, he will start to be overwhelmed and confused.

"Is the cardiologist not here yet?" Zhang Wulong asked the nurse on the side.

"I called, the cardiologist is on the way." The nurse quickly replied.

Zhang Wulong thought of the "electrophysiology communication group".

He quickly took out his mobile phone and uploaded the electrocardiogram to the WeChat group.

…

Lu Chen lay on the bed and looked at the picture in the WeChat group.

P wave is normal, sinus rhythm.

The rhythm is normal, without premature beats, atrial fibrillation, etc.

The ST segment of the precordial leads moves downward and the T wave is inverted.

Lu Chen frowned. Could it be coronary heart disease or myocardial ischemia?

At this time, someone in the group finally spoke.

The group nickname is a cardiologist in a second-grade hospital.

"The patient has severe myocardial ischemia. Does he have any history of coronary heart disease?"

Seeing someone speaking, Zhang Wulong looked happy and immediately replied: "I don't have coronary heart disease, but I have a history of high blood pressure and diabetes."

The cardiologist at the Class II A hospital continued to reply: "I have high risk factors for coronary heart disease. I think it may be angina pectoris or heart failure!"

At this time, Lu Chen frowned.

In this electrocardiogram, the T wave is followed by a less obvious U wave!

This may not be myocardial ischemia due to coronary heart disease!