MTL - I Can See Health-Chapter 41 ECG battle (Part 1)

  Chapter 41 ECG Battle (Part 1)

   "Mother-in-law, although Daddy's condition is improving now, we still recommend transferring to CCU. Only in CCU can he get the best treatment!" Sun Guoguo persuaded earnestly.

  The old woman stood up slowly and shook her head vigorously.

   "Dr. Sun, thank you for your rescue just now, but we don't transfer to the department or go to CCU, we really have no money!"

   Seeing the old woman's resolute attitude, Sun Guoguo sighed, and there was nothing to do with her.

  Dong Hao took out two informed consent forms.

   One is a refusal to transfer to CCU informed consent.

  The other is a critical illness notice.

   "Mother-in-law, then you sign."

   The old woman nodded and took the pen that Dong Hao handed over.

   crookedly signed his name on two informed consent forms.

   "Thank you Dr. Sun, and thank you Dr. Lu."

   This sentence, she said to Lu Chen.

   The two rescues in a row also allowed the old woman to meet Lu Chen, the young doctor who just entered the department.

  …

   At the end of each rescue, the first task is to make up the rescue doctor’s order and write the rescue record.

   "Junior Brother Lu, go and make up the rescue records."

  Sun Guoguo led the crowd out of the ward.

   "Junior Sister Ke, you go and record the doctor's order for rescue, and the others will follow up with the ward rounds."

  The time for the ward rounds is tight, and everyone can only act separately to improve efficiency.

   Lu Chen and Ke Yue received the order and returned to the doctor's duty room.

  …

   In the doctor's office at this time.

   Most of the medical teams are doing ward rounds, and only a few doctors are making up medical orders.

   "Lu Chen, you are amazing."

   Ke Yue whispered.

   "I heard from Senior Brother Dong that you just sucked out the blood clot."

  Lu Chen turned on the computer and smiled, "If you have used a sputum suction tube once, you will know that this thing is actually very simple and not very technical."

   "Oh." Ke Yue pursed her lips. Although Lu Chen said so, she knew that Lu Chen was being modest. In the two months since she came to the department, she has not seen other classmates use sputum suction.

  Lu Chen began to make up the rescue records, and Ke Yue made up the rescue doctor's orders.

  The time of the medicine prescribed by the doctor should correspond to the time of the medicine for the course of the disease. The two people communicated and completed their respective tasks.

  Because of the experience of writing rescue records in the morning, Lu Chen is now more handy when writing rescue records.

   After about ten minutes.

  Lu Chen and Ke Yue have both completed their respective tasks and are ready to return to the large army of ward rounds.

   At this time, another medical team in the eight districts of the heart, with about seven or eight doctors, suddenly returned to the doctor's office.

   was headed by a female doctor in her forties, followed by other doctors in the group.

   "Actually, the electrocardiogram is very simple. You need to read and interpret more clinically. Different electrocardiograms appear in different people and may have different meanings."

  The female doctor walked into the office and turned back to educate the students behind her from time to time.

  Lu Chen recognized her.

  She is the senior chief physician of another medical group in the eight districts of the heart, and is also the deputy director of the ward of the eight districts of the heart - Lin Cui.

   "Hey, you two students don't leave first."

  Lin Cui suddenly pointed to Lu Chen and Ke Yue.

   Lu Chen and Ke Yue, who were about to leave, paused and looked at Lin Cui suspiciously.

"I'll show you some electrocardiograms later, all of your students will come to study." Lin Cui sat at the desk in the center of the office, and said earnestly, "We must seize the opportunity to see the electrocardiogram, and the accumulation of small amounts of money will make a lot of money. Otherwise, when it comes to clinical practice, looking at the ECG is like reading a book from heaven. When the time comes, I will look for a quick book on the ECG, and it will be a side-by-side approach."

   Interpret ECG?

  Lu Chen is not afraid of interpreting the electrocardiogram, but why did Lin Cui keep them too?

   Ke Yue on the side behaved a little abnormally, she was reluctant to come forward.

   "What's wrong?" Lu Chen asked in a low voice.

   "I, I'm not very good at recognizing electrocardiograms." Ke Yue said timidly, "If Director Lin asks, what if I don't know anything?"

   "It's because you don't know how to study." Lu Chen smiled, "If you know everything, what are you going to do?"

   Director Lin had spoken, and Lu Chen could only walk towards their small group.

   Ke Yue gritted her teeth and followed slowly.

  …

   in the ward.

   "Why haven't they come back yet?"

  Sun Guoguo had already found bed number 6, but Lu Chen and Ke Yue were still missing.

   "Xiao Dong, go to the office to see if Junior Brother Lu and the others have encountered some trouble, why haven't they come back."

   "Okay, Senior Sister." Dong Hao nodded, holding a stack of medical record folders, and walked towards the doctor's office.

  …

   "First of all, when we learn something, we must know what its principle is! And what is the principle of electrocardiography? Does anyone know?"

  Lin Cui was sitting on a desk in the center of the office, surrounded by a group of people, most of whom were graduate students, graduate students, and interns.

   "Xiao He, please explain it to everyone."

  Lin Cui smiled and looked at a girl beside her.

  This girl's name is He Sirong. She is a graduate student this year. She has a very high score in the preliminary examination and ranks third in the entire cardiology department.

  He Sirong smiled and nodded, looking confident.

"The principle of the electrocardiogram refers to the response of the action potential of atrial myocytes and ventricular myocytes on the body surface, but the electrocardiogram is not the response of the action potential of a single cell, but the depolarization and repolarization of most atrial myocytes and ventricular myocytes. comprehensive response."

   "Because the depolarization or repolarization process of the entire atrial and ventricular myocytes is completed in an instant, the electrocardiogram on the body surface has a corresponding relationship with the action potential map of the cardiomyocyte."

   "Well, Xiao He made it very clear."

   Lin Cui showed a relieved smile, then picked up a piece of waste paper and started her teaching part.

   On the back of the waste paper, Lin Cui drew a simple electrocardiogram, which included P, QRS, T waves and so on.

   "Then I will take the ventricular muscle as an example. Phase 0 and its expansion in the ventricle are equivalent to the R wave of an electrocardiogram."

"Phase 1 corresponds to the J point or J wave of the ECG, phase 2 corresponds to the ST segment of the ECG, phase 3 corresponds to the T wave of the ECG, and phase 4 corresponds to the baseline of the ECG. The entire cardiac action potential duration corresponds to the ECG. the QT interval."

  …

  Lu Chen, Ke Yue and everyone stood around Lin Cui and listened carefully to her temporary lecture.

  I don't know when, Dong Hao also came.

"Damn it, I knew it was Mr. Lin who gave the lecture, and I wouldn't go back to the office if I said anything!" Dong Hao walked to Lu Chen's side and whispered helplessly, "Whenever she lectures, everyone must listen to the class in peace and not be allowed to leave. . . . Otherwise, she's going to start freaking out."

   He was going to tell Lu Chen and Ke Yue to go back and continue to follow the ward rounds.

  It's better now, he's got himself in.

   "It's not enough just to have a wealth of theoretical knowledge." Lin Cui smiled, and then ordered the doctor beside him to bring some electrocardiograms, "These five electrocardiograms are the electrocardiograms of the patients currently in the department. Let's take a look."

  Lin Cui also noticed the three of Lu Chen.

   "Are you students of the director's group?"

  Lu Chen nodded, "Yes."

   "That's great, let's take a look at these electrocardiograms together."

"OK."

  Lu Chen stepped forward, while Ke Yue's small face turned pale and slowly followed behind Lu Chen.

   (end of this chapter)