I Can See Health

Come to the ward.

Lu Chen found this place very familiar.

It wasn't until he saw Jiao Jingqiu that he realized this was the department of his tutor Zhang Shuqing.

"Lu Chen, why are you here?"

Jiao Jingqiu looked at Lu Chen in surprise.

"Come to see a patient." Lu Chen smiled.

Jiao Jingqiu nodded and then saw Du Fu beside her.

"Mr. Du, did you invite Director Lu here?"

Jiao Jingqiu happens to be the doctor in charge of Mr. Du's father.

Du Fu nodded slightly and said, "As for my father's condition, ask more people and find more ways out."

"We understand." Jiao Jingqiu then turned to look at Lu Chen, "Director Lu, why don't you take a look at the patient first?"

"good."

From the conversation with Jiao Jingqiu, Lu Chen had already learned a little about Du Fu's father's condition.

This is a very stubborn old man.

…

Come to the ward.

Lu Chen saw President Du's father.

He is a 74-year-old "veteran" coronary heart disease patient and very talkative.

"Why are you here again? The company is not busy?" The uncle looked at Du Fu who came and frowned slightly.

"Dad, I found a cardiology expert to help you take a look." Du Fu introduced Lu Chen with a smile, "This is the director of the cardiology department at the Fifth Hospital of Shanghai, Professor Lu Chenlu."

The uncle turned to look at Lu Chen and was stunned, "So young? Your age is probably not as long as my coronary heart disease, right?"

Lu Chen was startled for a moment, then smiled and said, "Sir, you are so strong and strong, we can't compare."

While talking, Lu Chen was also paying attention to the patient.

The health value on his head is 58 (——)!

The trend of two minus signs indicates that his condition is not optimistic either.

Hearing this, the uncle laughed loudly and said, "You are so young, you can actually be the director. It seems you have some skills, show me."

Lu Chen smiled and began to ask the uncle some relevant medical history.

The uncle said: "I did coronary angiography 20 years ago. At that time, we just started to carry out this operation here, and the director's surname was Zhao..."

A bunch of crap.

Lu Chen was a little helpless, but he still listened patiently before continuing: "Do you remember the imaging results?"

The uncle immediately said: "It's 'coronary heart disease'. It doesn't require a stent, but you have to take medicine. Do you know that Director Zhao?"

Lu Chen smiled slightly and immediately responded: "Well, I've heard about it. What medicine did you use?"

Then, the uncle took out various medicines from the bag.

Including aspirin, rosuvastatin, metoprolol, sacubitril-valsartan, isosorbide mononitrate, nitroglycerin, etc.

Then the uncle continued: "I come here several times every year, and Director Zhao arranges them. This one is in the morning, this one is in the evening, and that one is for temporary use. Director Zhao has a son, you know..."

Lu Chen was helpless.

He didn't know Director Zhao, and he didn't even know his son.

But before he came, he had heard that the uncle was long-winded, talkative, and had a rather stubborn temper.

Lu Chen still followed the uncle's wishes and listened attentively.

After the uncle finished speaking, Lu Chen immediately asked, "Why did you feel uncomfortable this time that brought you to the hospital?"

The uncle finally got the topic back on track: "In the past week, I often have chest tightness and suffocation. I can't help but wake up at night."

"How do you feel better? Have you taken any medicine?"

The uncle quickly said: "Eating this 'nitroglycerin' or 'isosorbide mononitrate' will help you quickly. If you don't take it, you will keep doing it."

Lu Chen frowned.

Sounds like a classic sign of a heart failure attack.

However, the medicines he took did not directly relieve the symptoms of heart failure.

"Now every time I'm going to get sick, I have a warning. One time at 10 o'clock in the evening, I felt like I was going to get sick. Fortunately, I took medicine in advance, so I didn't feel uncomfortable. Another time, it was 12 o'clock in the evening, and I couldn't sleep..."

When Lu Chen heard this, he nodded slightly.

He already had an idea in his mind.

Coronary heart disease, myocardial ischemia, heart failure, etc. all need to be considered.

"Okay, I roughly understand."

Lu Chen looked at Jiao Jingqiu and Du Fu who were standing aside, "Let's go back and take a look at the test results."

"Okay." Jiao Jingqiu said.

Just as everyone was about to leave, the uncle grabbed Lu Chen's sleeve and said, "No, I haven't finished speaking yet. Do you know that Director Zhao also has a daughter..."

Lu Chen: "..."

In desperation, Lu Chen said a few words.

Only then did the uncle let him go.

"Professor Lu, I'm sorry, my dad is talkative, but he doesn't mean anything malicious." Du Fu said quickly.

Lu Chen smiled and said, "It's nothing. The old man is so talkative, but he is actually looking for a sense of presence. I can understand it."

"Thank you." Du Fu smiled.

After seeing the conversation between Lu Chen and his parents just now, Du Fu had already made up his mind.

Regardless of whether Lu Chen can solve his father's matter, he will try his best to convince the board of directors to cooperate with the Fifth Hospital in Shanghai to develop the tricuspid valve repair system.

…

Back to the cardiologist's office.

Lu Chen also met some acquaintances, the attending doctors in the department when he was studying for his Ph.D.

To this day, they are still the primary doctors.

And Lu Chen has become the chief director of the Department of Cardiology at the Fifth Hospital in Shanghai!

The huge gap in status between people can't help but make people sigh.

"Isn't Teacher Zhang here?" Lu Chen asked.

"He has been busy with laboratory work recently and rarely comes to the department." Jiao Jingqiu said.

"Okay, let's get started." Lu Chen said.

Jiao Jingqiu organized the medical records and handed them to Lu Chen.

in medical records.

Troponin t (t): 17.9 ng/l (0-14ng/l), brain natriuretic peptide (bnp): 3100pg/ml).

Blood routine, biochemistry, thyroid function, coagulation function, etc. showed no obvious abnormality.

Cardiac color ultrasound: ejection fraction (ef): 38%, segmental wall motion abnormalities in the middle of the interventricular septum and apex, mitral and tricuspid regurgitation, abnormal left ventricular filling, and reduced cardiac function.

Electrocardiogram: sinus bradycardia, v1, v2 leads showed qs shape, st-t changes.

After reading all the results, Lu Chen was even more convinced that there was nothing wrong with his diagnosis.

Old anterior septal myocardial infarction, ischemic cardiomyopathy, and now heart failure have occurred. The EF value is significantly reduced, but the increase in BNP is not obvious.

Lu Chen thought of the way the uncle kept chattering and repeated the omens before the onset of the disease. There might be some exaggeration in his illness.

"What medications are you currently using?"

"Mainly some drugs for dilation and diuresis. UU Reading www.uukanshu.net" Jiao Jingqiu handed the doctor's order to Lu Chen.

Lu Chen opened it and took a look.

In the doctor's order, the application of diuretics is relatively sufficient.

"How's the effect?" Lu Chen continued.

"It's not good." Jiao Jingqiu shook her head, "The patient still has symptoms of chest tightness and difficulty breathing repeatedly, and they mostly occur at night."

"For example, at 10 o'clock the night before yesterday, the uncle had difficulty breathing, and rales were obvious during auscultation of the lungs. Intravenous administration of furosemide and deacetyl lancin was not effective."

Lu Chen's eyes narrowed, this was strange.

Typical heart failure symptoms, the system also prompted the correct diagnosis of coronary heart disease and heart failure just now.

Why don't drugs work now?

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